When a school nurse reports suspected child abuse, there is a breach of confidentiality. This breach is allowed because of
a. Civil immunity
b. Sovereign immunity
c. Nurse practice act
d. Respondeat superior
ANS: A
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The nurse in the newborn nursery is admitting a neonate. In order to determine the health and development of the newborn, what will the nurse assess? Standard Text: Select all that apply
1. Head and chest circumference 2. Weight and length 3. Body fat determination 4. Presence of newborn reflexes 5. Gestational age of the infant
Consider the following blood count values: Client A has 24,500 white blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a 250,000/mm3 platelet count. Which of the following correctly describes the condition of each client?
A) Client A has a normal WBC count, client B has a higher hemoglobin count than normal, and client C has a normal platelet count. B) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count. C) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a higher platelet count than normal. D) Client A has a normal WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.
The nurse is aware that pressure ulcers can occur: (Select all that apply.)
a. from any position that causes soft tissue compression. b. because of lack of blood flow (ischemia). c. only in bedbound patients. d. in as little as 90 minutes.
Which situations are often associated with possible causes of failure to thrive (FTT) in infants?
a. Gastroesophageal reflux b. Living in poverty c. Feeding difficulties d. Incorrect formula preparation e. Child neglect