A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?

Small bruises on the lower extremities.

A one-inch laceration across center of forehead.

Refusal to answer simple questions.

Several dime-sized circular burns on the back.

Answer and Explanation

The Correct Answer is D

A) Small bruises on the lower extremities:
While bruises should be noted and monitored, small bruises on the lower extremities are relatively common in toddlers due to their active nature and frequent minor falls. They do not immediately indicate abuse unless accompanied by other signs.

B) A one-inch laceration across the center of the forehead:
A laceration, especially if it's recent, should be assessed for proper care and treatment. However, a laceration alone does not necessarily indicate abuse and is less urgent compared to signs of possible abuse such as burns.

C) Refusal to answer simple questions:
A toddler’s reluctance to answer questions might be due to shyness or anxiety related to the visit or the situation. This behavior alone does not indicate an immediate need for intervention unless accompanied by other signs of distress or harm.

D) Several dime-sized circular burns on the back:
Circular burns are a significant concern as they are characteristic of burn injuries that may result from abuse, such as being burned by a hot object or liquid. This finding warrants immediate intervention and further investigation to ensure the child’s safety and well-being.

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Correct Answer is B

Explanation

A. Census data:
Census data provides demographic information about populations, such as age, sex, and ethnicity, but it does not typically provide detailed statistics on specific health outcomes like infant death rates.

B. Bureau of Vital Statistics:
The Bureau of Vital Statistics collects and maintains data on vital events such as births, deaths, marriages, and divorces. This resource would provide the most accurate and comprehensive data on infant mortality rates for comparison between cities and the state.

C. Disease registry:
Disease registries track specific diseases and conditions, but they are not typically used for gathering data on general statistics such as infant death rates. They are more focused on chronic or specific conditions.

D. Department of Health:
While the Department of Health can provide a wide range of health-related information and data, the Bureau of Vital Statistics is the specific resource for detailed and accurate mortality data. The Department of Health may use this data but does not typically maintain it directly.

A. Hepatitis B vaccine. B. Influenza vaccine. C. Tetanus toxoid vaccine. D. Hepatitis A vaccine.

Correct Answer is D

Explanation

A) Hepatitis B vaccine:
While Hepatitis B is a significant vaccine for many travelers, especially those at risk of bloodborne pathogen exposure or those planning extended stays, Hepatitis A is more commonly prioritized for short-term travel to developing nations where sanitation and food safety may be compromised.

B) Influenza vaccine:
The influenza vaccine is important for seasonal protection against flu, but it is not specifically targeted at the types of health risks commonly encountered in developing nations. It's generally recommended for annual protection but is not the primary concern for travel to developing countries.

C) Tetanus toxoid vaccine:
Tetanus is a concern for wound management and prevention of tetanus infection, but it is not specific to travel to developing nations. This vaccine is typically part of routine immunizations and might be updated based on injury or specific risk factors, rather than travel alone.

D) Hepatitis A vaccine:
Hepatitis A is crucial for travelers to developing nations because it is transmitted through contaminated food and water. In areas with poor sanitation and hygiene, the risk of Hepatitis A is high. Therefore, the Hepatitis A vaccine should be prioritized to prevent infection in these conditions.

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A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?

Correct Answer is B

Explanation

A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?

Correct Answer is D

Explanation

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