A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Front deciduous teeth missing
Weight in 45th percentile
Bruising around the wrists
Abrasions on the knees
The Correct Answer is C
Rationale:
A. Missing front deciduous teeth are a common occurrence during childhood and are not necessarily indicative of physical abuse.
B. Weight in the 45th percentile is within the normal range for a 7-year-old and does not indicate physical abuse.
C. Bruising around the wrists can be a sign of physical abuse, especially if it appears in patterns consistent with being restrained.
D. Abrasions on the knees are common in children who are active and are not necessarily indicative of physical abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. In many jurisdictions, adolescents have the legal right to consent to testing and treatment for sexually transmitted infections (STIs) without parental involvement. Obtaining written consent from the client is appropriate in this situation.
B. While verbal consent from the social worker may be helpful, the client's own consent is required for STI testing.
C. Depending on local laws and policies, contacting the client's parents for consent may not be necessary or appropriate, especially if the adolescent is seeking confidential care.
D. Postponing testing until the client's parents are present may delay necessary medical care and breach the adolescent's right to confidential healthcare.
Correct Answer is D
Explanation
Rationale:
A. Neck vein distention is not typically associated with acute acetylsalicylic acid poisoning.
B. Polyuria is not a common symptom of acute acetylsalicylic acid poisoning.
C. Jaundice is not typically associated with acute acetylsalicylic acid poisoning.
D. Hyperpyrexia (extremely high fever) is a potential complication of acute acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
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