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?
Review the immunization records of the child's classmates.
Check the child's classmates for parotid gland enlargement.
Instruct the caregivers to increase the child's Vitamin B intake.
Ask the caregivers if the child recently used alcohol-based mouthwash.
The Correct Answer is A
Koplik spots are a prodromic viral enanthem of measles manifesting two to three days before the measles rash itself1. They are pathognomonic for measles1. The nurse should review the immunization records of the child’s classmates to ensure they are protected against measles.
Choice C is not the answer because increasing Vitamin B intake is not a treatment for measles.
Choice D is not the answer because using alcohol-based mouthwash is not related to Koplik spots or measles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: "You should have a complete eye examination every 2 years until the age of 64."
Choice B rationale: The American Academy of Ophthalmology recommends that adults with no risk factors or symptoms of eye disease have a comprehensive eye examination at least once between the ages of 20 and 29, and at least twice between the ages of 30 and 39. For individuals aged 40 to 64, they should have a comprehensive eye examination every 2 to 4 years. The recommendation for those 65 and older is an examination every 1 to 2 years. This choice aligns with the general guidelines for comprehensive eye examinations.
Choice A rationale: The American Diabetes Association recommends screening for diabetes in individuals with risk factors or at least every 3 years for those over 45 years old. This recommendation differs from the suggestion in choice A, making it a less accurate option.
Choice C rationale: Hearing screening for adults over 50 years old should be conducted every 3 to 5 years, according to general guidelines. Choice C suggests a hearing screening every 5 years, which is at the upper end of the recommended range, but it is not the most appropriate option provided.
Choice D rationale: The American Cancer Society recommends that adults with an average risk for colorectal cancer should begin screening at age 45, with stool testing being one possible screening method. However, this recommendation differs from the statement provided in choice D, making it incorrect.
Correct Answer is D
Explanation
Low literacy can be a barrier to learning because it can make it difficult for clients to understand written materials and instructions.
Choices A, B, and C are not client-related barriers to learning.
Limited experience (choice A) and lack of credibility (choice B) are barriers that may affect the nurse’s ability to teach effectively, but they are not directly related to the client’s ability to learn.
Fear of public speaking (choice C) may affect the client’s willingness to participate in group discussions, but it is not a barrier to learning itself.
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