Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?
The child has a preference for associating with peers, rather than adults.
The child has learning problems and shyness.
The child tells sexually explicit stories to peers.
The child wears dirty and threadbare clothing.
The Correct Answer is C
C. The child telling sexually explicit stories to peers could be concerning and warrants further investigation. A child speaking in this manner could indicate that they are frequently expose to sexual content of abuse
A. The child has a preference for associating with peers, rather than adults. While this may need further assessment, it does not necessarily point to sexual abuse.
B. Learning problems and shyness alone are not specific indicators of sexual abuse.
D. While poor hygiene and clothing conditions can be signs of neglect, they are not directly related to sexual abuse. Poor hygiene and clothing is more likely to point to child neglect.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Remaining with the client provides support and reassurance during a period of agitation and restlessness. The presence of the nurse can help the client feel safe and supported, and it allows the nurse to assess the client's condition closely and intervene as needed.
A. While administering a PRN (as needed) sleeping medication may be considered in some situations, it is not the first-line intervention when a client is experiencing agitation and restlessness.
B. Encouraging the client to return to bed may be appropriate if they are willing and able to do so. However, if the client is agitated and pacing the floor, they may not feel comfortable or able to go back to bed.
C. Exploring alternatives to pacing the floor involves assessing the client's needs and preferences and identifying activities or strategies that may help alleviate agitation and promote relaxation. However, proper observation of the client behavior should be prioritized.
Correct Answer is C
Explanation
C. Excessive sweating, a low sodium diet, and diarrhea can all lead to dehydration and electrolyte imbalances, particularly low sodium levels (hyponatremia). Lithium is primarily excreted by the kidneys, and its clearance is influenced by sodium levels in the body. Decreased sodium levels can impair lithium excretion, leading to increased lithium levels and potential toxicity.
A. Green tea contains caffeine, which is a diuretic and can increase urine output. Since lithium is excreted primarily by the kidneys, increased urine output can lead to decreased lithium levels in the body and potentially subtherapeutic levels.
B. While exercise can increase sweat production, leading to fluid and electrolyte loss, moderate exercise alone is unlikely to cause significant lithium toxicity.
D. Increasing sodium intake can potentially enhance lithium excretion by promoting its renal clearance not accumulation and toxicity.
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