A nurse is contributing to the development of an in-service training about child maltreatment for a group of pediatric nurses. Which of the following findings should the nurse identify as a risk factor for child maltreatment?

The infant was born large for gestational age.

The infant has otitis media

The infant is younger than 1 year of age.

The infant's guardians are both over the age of 30.

Answer and Explanation

The Correct Answer is C

A. The infant was born large for gestational age: Being large for gestational age is not recognized as a risk factor for child maltreatment. Risk factors are more often related to family dynamics, age, and social stressors rather than birth weight alone.

B. The infant has otitis media: Otitis media, or a middle ear infection, is a common pediatric illness and is not itself a risk factor for maltreatment. It reflects normal childhood health issues rather than abuse or neglect.

C. The infant is younger than 1 year of age: Infants under 1 year are particularly vulnerable to maltreatment because of their total dependence on caregivers and inability to communicate effectively. This age group is at the highest risk for serious injury from abuse.

D. The infant's guardians are both over the age of 30: Parental age over 30 does not inherently increase the risk for child maltreatment. Other factors like substance abuse, history of being abused, and high stress levels are more closely linked to maltreatment risk.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Explanation

request a prescription for an increase in statin medication: Although the client's total cholesterol is elevated at 230 mg/dL, adjusting lipid management is not the immediate priority during an acute chest pain episode. The immediate focus should be stabilizing airway, breathing, and circulation.
prepare the client for cardiac catheterization: Cardiac catheterization may ultimately be needed to assess coronary artery blockages, but before this, the client must be stabilized with oxygen and medications to control chest pain and improve oxygenation.
administer oxygen at 2 L/min via nasal cannula: The client’s oxygen saturation dropped to 92% on room air, which is low for someone experiencing chest pain and possible myocardial ischemia. Administering supplemental oxygen improves myocardial oxygen supply and reduces cardiac workload, addressing airway and breathing priorities.
check a STAT cardiac troponin: The client’s initial troponin level was normal, but troponin can take several hours to rise after myocardial injury. While monitoring serial troponins is important, managing oxygenation and chest pain relief takes precedence right now.
administer sublingual nitroglycerin: After ensuring oxygenation, sublingual nitroglycerin should be administered to relieve chest pain by dilating coronary arteries and decreasing myocardial oxygen demand. It helps reduce ischemia and may prevent further cardiac injury.
request a prescription for a beta-blocker: Beta-blockers help control heart rate and blood pressure but are not the immediate first-line response for active chest pain and oxygen desaturation. Oxygen and nitroglycerin must be prioritized first to address the acute ischemic event.

A. Allergies B. Temperature C. Chest x-ray D. WBC count

Correct Answer is A

Explanation

Allergies: The client has a documented allergy to penicillin, and cefazolin is a first-generation cephalosporin. Cephalosporins have a similar beta-lactam structure to penicillins, and there is a potential risk of cross-reactivity. Administering cefazolin without provider clearance could result in a severe allergic reaction or anaphylaxis.
Temperature: Although the client's temperature is elevated at 39.3° C (102.8° F), this is an expected finding in pneumonia and does not need to be reported before antibiotic administration. In fact, treating the infection may help reduce the fever.
Chest x-ray: The chest x-ray showing left lower lobe density is consistent with a diagnosis of pneumonia and supports the need for antibiotic treatment. This finding confirms the infection in the lungs and guides the choice of antibiotic therapy. It is not a reason to withhold the prescribed medication but rather a justification for it.
WBC count: The client’s WBC count is elevated at 16,000/mm³, which is typical in bacterial infections like pneumonia. It reflects the body's immune response and further supports the need for antibiotics rather than delaying them.

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A nurse is contributing to the development of an in-service training about child maltreatment for a group of pediatric nurses. Which of the following findings should the nurse identify as a risk factor for child maltreatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client. Complete the following sentence by using the lists of options. After notifying the provider, the nurse should first ______ and then _______

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Explanation

Correct Answer is A

Explanation

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