A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?
A preschooler who has a BMI indicating obesity
A school-age child who cries when the nurse is giving him an injection
An adolescent who asks to stay in the hospital because he likes the room
A toddler who has multiple bruises on the shins of both legs and his parents report that he is clumsy
The Correct Answer is C
A. While childhood obesity is a health concern, it is not a specific indicator of abuse. Obesity can result from dietary habits, lack of physical activity, or medical conditions.
B. Fear of injections is common in children and is a typical developmental response. Crying during an injection is not an indicator of abuse and is expected behavior for many children.
C. While this finding alone does not confirm abuse, it may indicate an underlying issue in the adolescent's home environment. It requires further exploration through careful, open-ended questioning to assess for potential emotional or physical abuse or neglect.
D. Bruising on the shins of toddlers is common due to normal play and falls during development. The explanation provided by the parents aligns with typical toddler behavior and does not raise immediate concerns for abuse unless the bruises are in unusual locations (e.g., abdomen, back, or thighs).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. The number of medication errors avoided after the actions were implemented:
This measure assesses the direct impact of the new actions on reducing medication errors. By tracking the number of errors that were avoided after implementing the interventions, the nurse can gauge the effectiveness of the changes in improving medication safety.
B. A comparison of the number of medication errors before and after the actions were implemented:
This measure involves comparing the baseline number of medication errors before implementing the new actions with the number of errors after implementation. It provides a clear comparison to determine if the interventions have led to a reduction in medication errors over time.
C. Results of a study about the time and money required to implement the changes:
While studying the time and financial resources needed to implement changes is important for evaluating feasibility and resource allocation, it does not directly measure the effectiveness of the actions in reducing medication errors.
D. Results of a staff questionnaire that quantifies staff satisfaction with the changes:
Staff satisfaction is an important aspect of change implementation, but it does not serve as a direct measure of the effectiveness of the actions in reducing medication errors. It reflects staff perceptions rather than objective outcomes related to medication safety.
Correct Answer is ["2"]
Explanation
Tablets required = Desired dose/ Available dose
Tablets= 500mg/ 250mg
Tablets=2 tablets
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