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?

Front deciduous teeth missing

Weight in 45th percentile

Bruising around the wrists

Abrasions on the knees

Answer and Explanation

The Correct Answer is C

Rationale:

A. Missing front deciduous teeth are a common occurrence during childhood and are not necessarily indicative of physical abuse.

B. Weight in the 45th percentile is within the normal range for a 7-year-old and does not indicate physical abuse.

C. Bruising around the wrists can be a sign of physical abuse, especially if it appears in patterns consistent with being restrained.

D. Abrasions on the knees are common in children who are active and are not necessarily indicative of physical abuse.

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Correct Answer is C

Explanation

Rationale:

A. Periodic chest x-rays may be done to monitor lung function in cystic fibrosis, but it's not directly related to home care following discharge.

B. Tonsillectomy and adenoidectomy are not routine procedures for cystic fibrosis management unless there are specific indications beyond the disease itself.

C. Pancreatic enzyme replacement therapy with meals and snacks is essential for children with cystic fibrosis to aid in digestion and nutrient absorption due to pancreatic insufficiency, so this statement is crucial for home care.

D. Isoniazid is an antibiotic used to treat tuberculosis (TB), not cystic fibrosis, so this statement is incorrect and not relevant to cystic fibrosis home care.

A. Minimize movement of the limbs. B. Clear the area of hard objects. C. Place the child in a prone position. D. Insert a tongue blade between the teeth.

Correct Answer is B

Explanation

Rationale:

A. Minimizing movement of the limbs is not necessary during a seizure and can be harmful.

B. Clearing the area of hard objects helps prevent injury to the child during a seizure by reducing the risk of hitting or bumping into objects.

C. Placing the child in a prone position is not recommended during a seizure as it can obstruct the airway.

D. Inserting a tongue blade between the teeth is contraindicated and can lead to injury. It's important not to put anything in the child's mouth during a seizure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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