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?

Check the child's classmates for parotid gland enlargement.

Ask the caregivers if the child recently used alcohol-based mouthwash.

Review the immunization records of the child's classmates.

Instruct the caregivers to increase the child's Vitamin B12 intake.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C because, "Review the immunization records of the child's classmates." Koplik spots are a sign of measles, a highly contagious viral illness. Reviewing the immunization records of the child's classmates can help determine if there is an outbreak and assist in preventing further spread of the illness. Checking the child's classmates for parotid gland enlargement (Choice A is wrong because) is not relevant because it is a sign of mumps, a different illness. Asking the caregivers if the child recently used alcohol-based mouthwash (Choice B is wrong because) and instructing the caregivers to increase the child's Vitamin B12 intake (Choice D is wrong because) are not relevant because they do not relate to the presence of Koplik spots.

Choice A is wrong because: Checking the child's classmates for parotid gland enlargement is not relevant because it is a sign of mumps, not measles.

Choice B is wrong because: Asking the caregivers if the child recently used alcohol-based mouthwash is not relevant to the presence of Koplik spots.

Choice D is wrong because: Instructing the caregivers to increase the child's Vitamin B12 intake is not relevant to the presence of Koplik spots.

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Correct Answer is C

Explanation

The correct answer is Choice C because, "Determine students' motivation to learn about healthy food choices." The nurse should first determine the students' motivation to learn about healthy food choices to tailor the program to their needs. This answer is correct because understanding students' motivation to learn about healthy food choices is essential for designing effective educational programs.

Choice A is wrong because is incorrect because giving positive feedback to students who make appropriate choices is not a starting point for planning the program.

Choice B is wrong because is incorrect because recognizing the value of making healthy food choices is not a starting point for planning the program.

Choice D is wrong because is incorrect because providing students with resources about making wise choices independently is not a starting point for planning the program.

A. Collaborate with a prosthetist to teach the client about care of the prosthesis. B. Determine whether the client is eligible to go to a skilled nursing facility. C. Evaluate the client's home environment. D. Ask whether the client's insurance will cover home health services.

Correct Answer is C

Explanation

The correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.

Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.

Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.

Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a program about healthy eating at an elementary school where most students select french fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first?

Correct Answer is C

Explanation

A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?

Correct Answer is C

Explanation

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