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

Bruising around the wrists

Abrasions on the knees

Front deciduous teeth missing

Answer and Explanation

The Correct Answer is B

Choice A rationale

A child’s weight being in the 45th percentile is within the normal range and is not in itself an indicator of physical abuse.

Choice B rationale

Bruising around the wrists can be a potential indicator of physical abuse. Unexplained bruises, particularly in unusual locations or in specific patterns, can be a sign of physical abuse.

Choice C rationale

Abrasions on the knees are common in children due to normal play and activity and are not typically an indicator of physical abuse.

Choice D rationale

Missing front deciduous teeth in a 7-year-old student is not typically an indicator of physical abuse. It is normal for children to begin losing their deciduous (baby) teeth around this age.

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Correct Answer is C

Explanation

Choice A rationale

Prolonged headache is not typically identified as a common trigger for seizures. While headaches can be associated with certain types of seizures, they are not generally considered a trigger for seizure activity.

Choice B rationale

Decreased temperature, or hypothermia, is not typically identified as a common trigger for seizures. In fact, fever or increased body temperature is more commonly associated with triggering seizures, particularly in children.

Choice C rationale

Lack of sleep is a well-recognized trigger for seizures. Sleep deprivation can lead to increased seizure frequency in individuals with epilepsy. Ensuring adequate sleep is an important part of managing seizure disorders.

Choice D rationale

Exposure to second-hand smoke is not typically identified as a common trigger for seizures. While it is generally harmful to health, it is not specifically associated with an increased risk of seizures.

A. Avoid influence and pneumococcal vaccines for 24 months B. Initiate a referral for chest physiotherapy every 4 hr. C. Recommend the adolescent use a wheelchair to prevent stress the lower extremities D. Encourage the adolescent to perform incentive spirometry to maintain lung capacity

Correct Answer is ["D"]

Explanation

The correct answer is choiced. Encourage the adolescent to perform incentive spirometry to maintain lung capacity.

Choice A rationale: Avoiding influenza and pneumococcal vaccines for 24 months is not recommended. Vaccinations are crucial for preventing respiratory infections, which can be particularly dangerous for individuals with muscular dystrophy due to their compromised respiratory function.

Choice B rationale: Initiating a referral for chest physiotherapy every 4 hours is excessive and impractical. While chest physiotherapy can be beneficial, it is typically recommended at a frequency that is manageable and tailored to the individual’s needs.

Choice C rationale: Recommending the adolescent use a wheelchair to prevent stress on the lower extremities is not ideal. Encouraging mobility and physical activity as tolerated is important to maintain muscle strength and function for as long as possible.

Choice D rationale: Encouraging the adolescent to perform incentive spirometry to maintain lung capacity is appropriate. Incentive spirometry helps improve lung function and prevent respiratory complications, which are common in individuals with muscular dystrophy.

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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?

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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?