A teacher asks the school health nurse to assess a child for neglect. Which of the following assessment findings could indicate neglect?
a. Bruises in various stages of healing
b. Failure of parent to attend parent-teacher conferences or return teacher phone calls
c. Lack of weight gain and wearing dirty clothes
d. Lice in the hair
ANS: C
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On a nursing unit all assigned breaks including lunch/dinner breaks are assigned at the beginning of the shift
A nurse caring for a patient with anemia and heart failure prepares to hang a unit of packed red blood cells and realizes her break is in 5 minutes. She decides it is not necessary to have another nurse check the blood against the patient's information since the patient's blood type is O+ which she incorrectly remembered to be the universal donor. She hangs the blood, noting the patient is "reading and vital signs normal." She leaves the floor for her break and does not report leaving or ask anyone to perform required vital signs. Upon returning she meets a family friend who is visiting and time "just flies." She returns to the patient's room after admitting a new patient. The patient is hypotensive and color is cyanotic and anxious. She reports the findings to the charge nurse, who then contacts the physician. A blood reaction occurrence is noted. The nurse providing care is charged: a. with comparative negligence. b. with a preventable adverse event. c. with criminal negligence. d. under the doctrine of res ipsa loquitur.
Which of the following should the nurse instruct a client who is receiving treatment for the diagnosis of leukemia? (Select all that apply.)
1. See a dentist regularly. 2. Increase fluids. 3. Report any fatigue to the physician. 4. Expect to have frequent coughs and colds. 5. Use a sunblock when outdoors. 6. Report gastrointestinal distress to the physician.
The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they do which of the following in regard to their child's activities?
A) Find a Little League team that encourages participation of kids at all disability levels. B) Find an art class that will allow the child to participate without physical exertion. C) Modify family activities so they are more sedentary for the child. D) Teach the child at home so that the child does not feel overly different.
The nurse is preparing to perform an assessment on four children. After reviewing each child's admitting diagnosis, which of the following children may have an enlarged spleen?
1. 14 year old admitted with acute gastroenteritis 2. 17 year old admitted with an acute exacerbation of asthma 3. 11 year old admitted with an umbilical hernia 4. 9 year old admitted with a sickle cell crisis