A nurse is assisting in the development of an in-service for staff members about physical abuse of children. Which of the following children are at an increased risk for physical abuse?

Children whose parents have college degrees

Children who were born after 38 weeks of gestation

Children whose parents are married

Children who live in crowded homes

Answer and Explanation

The Correct Answer is D

A.   Children whose parents have college degrees may have more access to resources and support systems, potentially reducing the risk of physical abuse.
B.   Children who were born after 38 weeks of gestation do not inherently have an increased risk of physical abuse based solely on gestational age at birth.
C.   Children whose parents are married may have more stability in their family environment, potentially reducing the risk of physical abuse.
D.   Children who live in crowded homes may experience increased stress and tension, leading to a higher risk of physical abuse due to the potential for conflict and limited space.

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Correct Answer is A

Explanation

A. The client who has heart failure and is incontinent of urine requires immediate attention as urinary incontinence can be indicative of fluid overload, a common complication in heart failure. Prompt assessment and intervention are necessary to prevent worsening of the client's condition.
B. Agitation in a client with COPD and dementia, while concerning, may not require immediate intervention unless it poses a risk to the client or others. It should be addressed as soon as possible, but it may not be the priority over the client with acute urinary incontinence.
C. Pain with ambulation in a client who had a hip arthroplasty 10 days ago is significant and requires attention, but it is not as urgent as addressing a potential fluid overload situation in the client with heart failure.
D. Constipation in a client who had a cerebrovascular accident 6 months ago is a chronic issue that may not require immediate intervention unless it is causing distress or complications.

A. A client who has a history of pancreatitis and reports severe abdominal pain B. A client who has heart failure and reports severe dyspnea C. A client who is scheduled for abdominal surgery in 1 hr D. A postoperative client who has diabetes mellitus and a blood glucose of 280 mg/dL

Correct Answer is B

Explanation

A. While severe abdominal pain in a client with a history of pancreatitis requires urgent assessment, severe dyspnea in a client with heart failure may indicate impending respiratory distress, requiring immediate intervention.
B. Severe dyspnea in a client with heart failure is a critical situation that requires immediate assessment and intervention to prevent respiratory compromise or failure.
C. While a client scheduled for surgery may need preparation and assessment, the client with severe dyspnea takes priority due to the potential for respiratory distress.
D. While a high blood glucose level in a postoperative client with diabetes mellitus requires monitoring and intervention, the client with severe dyspnea requires immediate attention due to the potential for respiratory compromise.

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A nurse is assisting in the development of an in-service for staff members about physical abuse of children. Which of the following children are at an increased risk for physical abuse?

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Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility has received change-of-shift report about four clients. Which of the following clients should the nurse attend to first?

Correct Answer is A

Explanation

After receiving change-of-shift report, which of the following clients should the nurse collect data from first?

Correct Answer is B

Explanation

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