Which of the following clients would the nurse report as a suspected abuse case?

A 10-year-old with a burn on the palm of the hand

A 6-year-old with splash burns on the front torso

A 4-year-old with circular abrasions around the wrists

A 2-year-old with a large bruise on the forehead

Answer and Explanation

The Correct Answer is C

A. A 10-year-old with a burn on the palm of the hand: This could potentially be accidental, for example, from touching a hot surface. However, while it requires further investigation, it is not as strongly indicative of abuse as the given option.
B. A 6-year-old with splash burns on the front torso: These burns could result from accidentally spilling hot liquids. Though it raises concern, it often indicates an accident rather than abuse unless accompanied by other suspicious signs.
C. A 4-year-old with circular abrasions around the wrists: This is highly suspicious of abuse because circular abrasions can indicate that the child may have been tied or restrained, which is not typical of accidents or normal play.
D. A 2-year-old with a large bruise on the forehead: This type of injury is common in young children who are prone to falls and bumps. It might not immediately suggest abuse without additional context.

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Correct Answer is ["B","C","E"]

Explanation

A. Stand directly in front of the client when talking: Standing directly in front of an agitated client can be seen as confrontational and might escalate the situation. It is better to stand at an angle and maintain a non-threatening posture.
B. Avoid wearing necklaces during client care: Wearing necklaces or other loose accessories can pose a safety risk if a client becomes aggressive and tries to grab or pull them, potentially causing injury.
C. Provide immediate verbal feedback for escalating behavior: Immediate feedback can help de-escalate potentially aggressive behavior by addressing issues before they become more serious. It also reinforces appropriate behavior and sets clear boundaries.
D. Bring security with you for all client interactions: Bringing security for all interactions is impractical and can create an atmosphere of distrust. Security should be involved only when there is a credible risk of violence.
E. Review the layout of the facility: Understanding the layout of the facility, including exits and potential hazards, helps in planning for safe interactions and knowing escape routes if a situation escalates.

A. This position prevents stomach juice from going into the lungs B. This position allows food to be easily digested by the stomach C. This position helps my baby breathe better by opening the lungs D. This position keeps pressure off the stomach

Correct Answer is A

Explanation

A. This position prevents stomach juice from going into the lungs. Elevating the head helps prevent reflux of stomach contents into the trachea and lungs, which can lead to aspiration pneumonia.
B. This position allows food to be easily digested by the stomach. The position primarily focuses on respiratory protection, not digestion.
C. This position helps my baby breathe better by opening the lungs. While elevation can aid breathing, it's primarily to prevent aspiration rather than improving respiratory function.
D. This position keeps pressure off the stomach. It's not primarily about relieving pressure but rather preventing aspiration.

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Which of the following clients would the nurse report as a suspected abuse case?

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Naxlex Comprehensive Predictor Exams

A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following Information should the nurse manager include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?

Correct Answer is A

Explanation

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