Which assessment data should a school nurse recognize as a sign of physical neglect?
1. The child is often absent from school and seems apathetic and tired.
2. The child is very insecure and has poor self-esteem.
3. The child has multiple bruises on various body parts.
4. The child has sophisticated knowledge of sexual behaviors.
1
Rationale: The nurse should recognize that a child who is often absent from school and seems apathetic and tired may be a victim of neglect. Other indicators of neglect are stealing food or money, lacking medical or dental care, being consistently dirty, lacking sufficient clothing, or stating that there is no one home to provide care.
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The pelvis is divided into two parts, the false and true pelvis. The nurse explains that the size of the true pelvis is most important because:
a. the fetal head must pass through this part. b. these are the mother's measurements. c. the false pelvis can change. d. it needs to be larger.
The nurse is palpating the right upper quadrant of a client's abdomen. Which of the following organs may be assessed during this portion of the assessment? Standard Text: Select all that apply
1. Liver 2. Gallbladder 3. Appendix 4. Spleen 5. Stomach
Which of these hygiene needs does not diminish with aging?
a. bathing c. oral care b. foot care d. hair care
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
1. Urinary retention 2. Cardiac output 3. Peripheral edema 4. Skin rash