A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.
The nurse is reviewing the patient’s data. Which data warrants follow-up?
The patient reports being teased by his friends for being “overweight.”.
The patient prefers solitary play situations.
The patient lives with his mother and younger brother in subsidized housing in an inner city setting.
The patient reports becoming easily short of breath.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.
Choice B rationale
Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.
Choice C rationale
Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.
Choice D rationale
The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.
Choice B rationale
Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does 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 symptom.
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 start treatment with permethrin would not be appropriate based on the information given.
Choice D rationale
Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Choice B rationale
While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.
Choice C rationale
Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.
Choice D rationale
Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.
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