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. Assessing the risk of self-harm or suicide is the top priority when caring for a patient with major depressive disorder. It allows the nurse to intervene immediately if there's a risk of harm.
B. While group therapy can be beneficial for individuals with depression, it's not the first priority when assessing for safety concerns.
C. Administering antidepressants may be part of the treatment plan, but it's essential to assess the immediate risk of self-harm before proceeding with medication administration.
D. Assisting with activities of daily living is important, but it's not the first action to take when assessing for safety in a patient with major depressive disorder.
Correct Answer is A
Explanation
- A) Checking clothing for loose buttons is important because toddlers can easily remove and swallow small objects, which can lead to choking hazards.
- B) Adjusting the water heater temperature to 54° C (129.2° F) is not recommended as it poses a risk of scalding. Safe water temperatures for households with toddlers should be at or below 49° C (120° F).
- C) Placing screens on all windows is a crucial safety measure to prevent toddlers from falling out of open windows, which can lead to serious injuries or fatalities.
- D) Providing balloons for play is not advisable as uninflated or broken balloons can be a choking hazard for toddlers. It is one of the leading causes of choking deaths in children.
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