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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.
Choice B rationale:
Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.
Choice C rationale:
Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.
Choice D rationale:
Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.
Correct Answer is A
Explanation
Choice A rationale:
Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.
Choice B rationale:
Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.
Choice C rationale:
There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.
Choice D rationale:
Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.
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