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A nurse is caring for a group of clients in a pediatric clinic.
Which of the following clients is at the highest risk for physical abuse? .

A school-age child who wants to go away to summer camp.

A toddler who has cystic fibrosis.

An adolescent who is preparing to leave home for college.

A preschooler who is reluctant to share.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A school-age child wanting to go to summer camp is not at a higher risk for physical abuse.

Choice B rationale:

A toddler with cystic fibrosis is at a higher risk for physical abuse due to the stress and demands of caring for a child with a chronic illness.

Choice C rationale:

An adolescent preparing to leave home for college is not at a higher risk for physical abuse.

Choice D rationale:

A preschooler who is reluctant to share is not at a higher risk for physical abuse.

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Correct Answer is A

Explanation

Choice A rationale:

A timeout is a de-escalation technique where the client is allowed to spend time alone in a safe environment to regain control.

Choice B rationale:

Restraint is not a de-escalation technique. It is a last resort measure used when other methods have failed and the client is a danger to themselves or others.

Choice C rationale:

Diversion is a technique used to distract the client from a stressful situation, not a de-escalation technique.

Choice D rationale:

A therapeutic hold is a type of physical restraint, not a de-escalation technique.

A. Liver enzymes B. Uric acid. C. Sodium level. D. Erythrocyte sedimentation rate.

Correct Answer is C

Explanation

Choice A rationale:

While liver enzymes are important to monitor for many medications, they are not typically affected by lithium.

Choice B rationale:

Uric acid levels are not typically affected by lithium.

Choice C rationale:

Lithium can affect the sodium levels in the body, making it important to monitor these levels while taking this medication.

Choice D rationale:

Erythrocyte sedimentation rate is not typically affected by lithium.

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A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at the highest risk for physical abuse? .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who becomes extremely agitated and asks if they can go to a separate room to be alone for an hour. The nurse should document which of the following de-escalation techniques in the client's medical record?.

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication? .

Correct Answer is C

Explanation

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A nurse is caring for a group of clients in a pediatric clinic.
Which of the following clients is at the highest risk for physical abuse? .