The mother of an 8-year-old boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. Which assessment finding should the PN note as the most significant indicator of possible child abuse?

The mother refuses to answer questions about family history.

The child has several abrasions on the chest and legs.

The child looks at the floor when answering the nurse's questions.

The mother's version of the injury is different from the child's version.

Answer and Explanation

The Correct Answer is D

In cases of suspected child abuse, inconsistencies or discrepancies between the child's account of the injury and the caregiver's version are concerning. It raises questions about the credibility of the explanation provided by the caregiver and suggests a possible attempt to conceal the true cause of the injury. Such discrepancies may indicate that the injury was intentionally inflicted or that the child is being coerced or influenced to provide a false account.
While the other assessment findings may raise some level of concern, they are not as significant as the discrepancy between the child's and mother's versions of the injury:
A. "The mother refuses to answer questions about family history." While this behavior may raise some suspicion or cause for further investigation, it alone does not conclusively indicate child abuse. It may be related to other factors such as privacy concerns or cultural differences.
B. "The child has several abrasions on the chest and legs." While the presence of abrasions can be concerning, they alone do not provide sufficient evidence of child abuse. Children are prone to injuries and can obtain abrasions during normal play and activities.
C. "The child looks at the floor when answering the nurse's questions." This behavior may suggest shyness, anxiety, or discomfort, but it is not a definitive indicator of child abuse. Some children may exhibit such behaviors due to their personality or other factors unrelated to abuse. It is important to consider the child's overall behavior and communication patterns in conjunction with other assessment findings.

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Correct Answer is ["1"]

Explanation

The concentration of cefazolin after reconstitution can be calculated as follows: Concentration = Total amount of drug / Total volume after reconstitution

Since the available vial contains 1 gram (1000 mg) of cefazolin and the total volume after reconstitution is 2.5 mL, we can calculate the concentration:

Concentration = 1000 mg / 2.5 mL = 400 mg/mL

Therefore, after reconstitution, the concentration of cefazolin is 400 mg/mL.

To administer a dose of 400 mg, we divide the desired dose by the concentration: Volume to administer = Desired dose / Concentration

Volume to administer = 400 mg / 400 mg/mL = 1 mL

A. Remind the client that he is likely to gain weight when attempting to stop smoking. B. Provide information to the client about risks associated with smokeless tobacco. C. Explain to the client that obesity is a more significant health risk than smoking. D. Encourage the client to continue with this plan to reduce his risk for cancer.

Correct Answer is B

Explanation

Smokeless tobacco, such as chewing tobacco or snuff, still contains harmful substances, including nicotine and various chemicals. It is associated with several health risks, including an increased risk of oral, esophageal, and pancreatic cancers, as well as gum disease, tooth loss, and nicotine addiction.
Incorrect:

A. By providing this information, the nurse can help the client make an informed decision about their smoking cessation plan. It is crucial to emphasize that quitting tobacco altogether is the best approach to reduce the risk of cancer and improve overall health.
C. The nurse should not encourage the client to continue with the plan to switch to smokeless tobacco as a means of reducing the risk for cancer. Instead, the focus should be on supporting the client's efforts to quit tobacco entirely and providing appropriate resources and interventions to facilitate smoking cessation.
D. Addressing the concern about weight gain when quitting smoking is also important, but it should be done in the context of promoting healthy lifestyle changes and offering strategies to manage weight during the smoking cessation process.

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The mother of an 8-year-old boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. Which assessment finding should the PN note as the most significant indicator of possible child abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1"]

Explanation

A male client tells the practical nurse (PN) that he is afraid of getting cancer so he plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond?

Correct Answer is B

Explanation

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