A school nurse is assessing a 7-year-old student.
The nurse should identify which of the following findings as a potential indicator of physical abuse?
Weight in 45th percentile.
Abrasions on the knees.
Bruising around the wrists.
Front deciduous teeth missing.
The Correct Answer is C
Bruises in areas of the body not typically injured by accident or normal childhood activities can be a potential indicator of physical abuse.
Choice A is wrong because Weight in 45th percentile is not an answer because it falls within the normal range for weight.
Choice B is wrong because Abrasions on the knees are not an answer because they are a common injury in children and can occur during normal play.
Choice D is wrong because Front deciduous teeth missing is not an answer because it is normal for children to lose their deciduous teeth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
“What do you do when your infant is fussy?” This question allows the parent to discuss their coping mechanisms and gives the nurse an opportunity to provide guidance and support.
Choice A is not a therapeutic question because it suggests a course of action rather than exploring the parent’s feelings and experiences.
Choice C and D are not therapeutic questions because they are closed-ended and do not encourage the parent to discuss their coping mechanisms.
Correct Answer is C
Explanation
A potassium level of.2 mEq/L is considered low.
Low potassium levels can cause muscle weakness and spasms.
Hyporeflexia refers to below normal or absent reflexes and can be a sign of muscle weakness.
Choice A is wrong because oliguria, or decreased urine output, is not a common symptom of low potassium levels.
Choice B is wrong because hypertension, or high blood pressure, is not a common symptom of low potassium levels.
Choice D is wrong because hyperactive bowel sounds are not a common symptom of low potassium levels.
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