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 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.
Correct Answer is B
Explanation
Rationale:
A. This amount of drainage may be expected postoperatively, and it is not indicative of a significant issue.
B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler.
C. While slightly lower than the typical body temperature, it is not necessarily abnormal, particularly in a postoperative setting.
D. Pulses of 2+ indicate adequate perfusion and are not concerning.
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