The practical nurse (PN) identifies which client behaviors that can increase the client's risk for hypertension? (Select all that apply.)

In cases of suspected child abuse, inconsistencies or discrepancies between the child's account of the injury and the caregiver's version are concerning. It raises questions about the credibility of the explanation provided by the caregiver and suggests a possible attempt to conceal the true cause of the injury. Such discrepancies may indicate that the injury was intentionally inflicted or that the child is being coerced or influenced to provide a false account.
While the other assessment findings may raise some level of concern, they are not as significant as the discrepancy between the child's and mother's versions of the injury:
A. "The mother refuses to answer questions about family history." While this behavior may raise some suspicion or cause for further investigation, it alone does not conclusively indicate child abuse. It may be related to other factors such as privacy concerns or cultural differences.
B. "The child has several abrasions on the chest and legs." While the presence of abrasions can be concerning, they alone do not provide sufficient evidence of child abuse. Children are prone to injuries and can obtain abrasions during normal play and activities.
C. "The child looks at the floor when answering the nurse's questions." This behavior may suggest shyness, anxiety, or discomfort, but it is not a definitive indicator of child abuse. Some children may exhibit such behaviors due to their personality or other factors unrelated to abuse. It is important to consider the child's overall behavior and communication patterns in conjunction with other assessment findings.

The action the practical nurse (PN) should take in this situation is to administer a prescribed PRN (as needed) dose of analgesic.
Severe burning pain along the right side of the trunk is a common symptom of herpes zoster (shingles). Managing the client's pain is an important aspect of care to provide comfort and promote healing. Administering a prescribed PRN dose of analgesic will help alleviate the client's pain and improve their overall well-being. It is crucial to follow the client's prescribed medication regimen and provide pain relief as needed.
The other options are not the most appropriate actions in this situation:

B. Notifying the nursing supervisor of uncontrolled pain may be necessary if the client's pain persists despite appropriate interventions. However, the first step should be to administer an analgesic to address the immediate pain.
C. Giving the next prescribed dose of antiviral medication is important in the treatment of herpes zoster, but it does not directly address the client's current severe burning pain. Analgesics are specifically designed to alleviate pain symptoms.
D. Obtaining an oxygen tank for home administration is not indicated for the management of pain associated with herpes zoster. Oxygen therapy is typically used for respiratory or circulatory conditions and would not be the appropriate intervention for the client's symptom of severe burning pain.