A 5-year-old patient has been brought in for a routine check-up and vaccination update.
The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks.
What actions should the nurse take?
Review the child’s medical history for any allergies or sensitivities.
Examine the child’s torso and arms for any signs of physical trauma.
Advise the parents to initiate treatment with permethrin.
Recommend the parents to seek further medical evaluation for the child.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Reviewing the child's medical history for any allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the child's symptoms of difficulty focusing in school and decreased appetite may not necessarily be related to allergies or sensitivities. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues²².
Choice B rationale
Examining the child's torso and arms for any signs of physical trauma is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptoms described by the mother do not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptoms.
Choice C rationale
Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to initiate treatment with permethrin would not be appropriate based on the information given.
Choice D rationale
Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues, which would require further investigation²².
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Applying oxygen via a nasal cannula might help alleviate the client’s shortness of breath, but it does not address the potential cause of the client’s symptoms.
Choice B rationale
Given the client’s symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client’s condition and respond appropriately.
Choice C rationale
Infusing IV fluid boluses might be necessary if the client is dehydrated, but there is no indication of this in the scenario.
Choice D rationale
Administering antiviral medication would be appropriate if the client were confirmed to have a viral infection. However, the client’s symptoms and history suggest a potential exposure to an unknown substance, which requires further evaluation.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Severe life stresses at any age can indeed increase the risk of suicide????. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide. This can include a wide range of stressors, such as relationship problems, financial difficulties, job loss, or serious health issues?.
Choice B rationale
While it is true that socioeconomic disadvantage is associated with higher rates of suicide¹³, it is not accurate to say that suicides predominantly occur in lower socioeconomic groups.
Suicide is a complex issue that can affect individuals across all socioeconomic strata. Factors such as mental health conditions, substance abuse, and access to lethal means also play significant roles¹.
Choice C rationale
Robust social support systems can indeed help prevent suicide¹?¹?¹?¹?¹?. Social support can provide individuals with a sense of belonging, improve their mood and outlook, and reduce feelings of isolation. It can also provide a safety net for individuals in crisis, offering them resources and interventions that can help mitigate suicide risk¹?¹?¹?¹?¹?.
Choice D rationale
The assertion that discussing suicide with individuals suffering from depression can be hazardous is not entirely accurate??[^10^]. While it is crucial to approach such discussions with sensitivity and care, open conversations about suicide can help identify individuals at risk and ensure they receive the help they need. It is essential, however, that these discussions are conducted by trained professionals who can provide appropriate support and referrals??[^10^].
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