A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. Which of the following actions should the nurse take?
Ask the caregivers if the child recently used alcohol-based mouthwash.
Check the child's classmates for parotid gland enlargement.
Instruct the caregivers to increase the child's Vitamin B12 intake.
Review the immunization records of the child's classmates.
The Correct Answer is D
A. Koplik spots are specific to measles and not related to alcohol-based mouthwash.
B. Parotid gland enlargement is not associated with Koplik spots.
C. Vitamin B12 intake is not relevant to the presence of Koplik spots.
D. Reviewing immunization records is crucial because Koplik spots are a characteristic finding in measles, a vaccine-preventable disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Asking about thoughts of self-harm is the priority to ensure the client's safety, as this information is critical for immediate intervention if necessary.
B. Describing feelings is important but secondary to assessing the risk of self-harm.
C. Understanding what alleviates depression is helpful but not the first priority in assessing a client's immediate risk.
D. Knowing the client's support system is important but should be addressed after ensuring the client is not at immediate risk of self-harm.
Correct Answer is B
Explanation
A. Evaluating the effectiveness of drills is important but comes after identifying risks and capabilities.
B. Identifying community risks and capabilities is the first step in developing a disaster-preparedness plan to tailor responses to specific threats.
C. Providing education about first aid and triage is essential but is typically part of the implementation phase.
D. Assembling a response team follows understanding community needs and capabilities.
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