A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

One of the child’s parents appears frightened of the other parent.

One of the child’s parents has a history of alcohol use disorder.

The child spends the weekends with their grandparents.

Neither of the child’s parents are financially stable.

The child’s family has an indoor cat that sleeps with the child.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.

Choice B rationale

A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.

Choice C rationale

The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.

Choice D rationale

Financial instability can create stress and frustration, which can increase the risk of child abuse.

Choice E rationale

Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.

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Correct Answer is A

Explanation

Choice A rationale

The guardian’s statement about inspecting the child’s mouth for sores indicates an understanding of the teaching. Children with leukemia are at a higher risk for infection due to the chemotherapy drugs used in treatment, which can also kill healthy cells, including white blood cells that fight infection. Sores in the mouth could be a sign of infection, and regular inspection can help detect any issues early. This is a crucial part of managing side effects in children receiving leukemia treatment.

Choice B rationale

The statement about ensuring the child gets a measles, mumps, and rubella vaccine this week is incorrect. Children with leukemia have weakened immune systems due to their disease and treatment, and live vaccines such as the MMR vaccine are generally not recommended. Live

vaccines contain a weakened form of the virus or bacteria they protect against, which could cause serious illness in a child with a weakened immune system.

Choice C rationale

The statement about the child feeling better now that he can ride his bicycle is not necessarily indicative of an understanding of the teaching. While physical activity is important for overall health, children with leukemia may need to limit some activities to reduce the risk of injury and infection. It’s important to balance the child’s activity level with their overall health status and risk of complications.

Choice D rationale

The statement about taking the child’s rectal temperature daily is not necessarily indicative of an understanding of the teaching. While monitoring for fever is important in children with leukemia, as it could be a sign of infection, rectal temperatures are generally not recommended due to the risk of causing injury or introducing bacteria.

A. Turn the patient every 4 hours. B. Elevate the head of the patient’s bed. C. Offer the patient ice chips. D. Provide oral care to the patient every 6 hours.

Correct Answer is B

Explanation

The correct answer is Choice B

Choice A rationale: Turning the patient every 4 hours may prevent pressure ulcers, but it can cause discomfort for a near-death patient. Less frequent repositioning might be more suitable for maintaining comfort during the end-of-life stage.

Choice B rationale: Elevating the head of the patient's bed can help ease breathing difficulties by reducing the pressure on the diaphragm and enhancing lung expansion. This position promotes comfort and reduces the work of breathing, which is beneficial for near-death patients.

Choice C rationale: Offering the patient ice chips can provide temporary relief from dry mouth, but it may not be the most effective measure for ensuring comfort. Adequate hydration and regular oral care are generally more beneficial for maintaining patient comfort.

Choice D rationale: Providing oral care every 6 hours might not be frequent enough to ensure comfort. More frequent oral care, such as every 2 hours, helps maintain moisture in the mouth, reduces discomfort, and prevents infections, enhancing the patient's overall comfort

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A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications.Which of the following statements by the guardian indicates an understanding of the teaching?

Correct Answer is A

Explanation

A hospice nurse is planning care for a patient who is near death. Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?

Correct Answer is B

Explanation

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