A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping.
Which intervention should the nurse implement?
Ask the boy to describe a typical day at school.
Compare the child's vital signs over the past three weeks.
Conduct a complete neurological assessment.
Counsel the parents to pay more attention to the child.
The Correct Answer is A
The boy's reported symptoms may indicate stress or anxiety related to his school experience. By asking the boy to describe a typical day at school, the nurse can gather information about the child's interactions with teachers and peers, academic performance, and any other potential sources of stress. This information can be used to develop an appropriate plan of care that addresses the child's emotional and physical needs.
Comparing vital signs or conducting a neurological assessment may not provide useful information in this case, and counseling the parents to pay more attention to the child is not a recommended intervention without first identifying the underlying cause of the child's symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Aortic stenosis is a narrowing of the aortic valve, which can cause decreased blood flow from the left ventricle to the systemic circulation. In infants with aortic stenosis, the left ventricle must work harder to pump blood through the narrowed valve, which can lead to left ventricular hypertrophy, heart failure, and pulmonary edema. Bilateral fine crackles in both lung fields may indicate fluid overload in the lungs, which is a common complication of heart failure. Hypotension and tachycardia may also be present due to decreased cardiac output.
Option A is not a typical finding associated with aortic stenosis.
Option B is not directly related to the infant's cardiac condition.
Option C is not a typical finding associated with heart failure.
Correct Answer is ["1"]
Explanation
1 teaspoon.
The child has been prescribed loratadine 5 mg once a day. The botle is labeled "Loratadine for Oral Suspension, USP 5 mg per 5 mL." This means that for every 5 mL of the suspension, there is 5 mg of loratadine. Since 1 teaspoon is equivalent to 5 mL, the nurse should instruct the parent to administer 1 teaspoon with each dose to provide the prescribed 5 mg of loratadine.
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