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 ["A","D"]

Explanation

The correct answers are A and D. The extension cord presents a trip hazard and should be replaced with a longer power strip or have a qualified electrician install additional outlets. The water heater temperature is above the recommended range of 49° C (120° F) and should be adjusted to prevent scalding. The red light in the bedroom (Choice B is wrong because) is not a safety hazard, the rubber-backed bath mat (Choice C is wrong because) is a safety measure to prevent falls, and carpeted floors (choice E) are also not a safety hazard.

Choice A is An extension cord extends across the floor of the living room presents a trip hazard.

Choice B is wrong because: A red light is kept on in the bedroom at night is not a safety hazard.

Choice C is wrong because: A rubber-backed bath mat is on the floor outside the shower is a safety measure to prevent falls.

Choice D is The water heater is set at 54.4° C (130° F) is above the recommended range and can cause scalding.

Option E: Carpeted floors are not a safety hazard.

A. The test measures serum levels of HIV antibodies. B. The test monitors the progression of HIV. C. The test results are accurate 24 hr after HIV exposure. D. A positive result indicates initiation of immunoglobulin administration.

Correct Answer is A

Explanation

The correct answer is Choice A because, the test measures serum levels of HIV antibodies. Enzyme-linked immunosorbent assay (ELISA) testing is a screening test for HIV infection, which measures the presence of HIV antibodies in the blood.

Choice B is wrong because, the test monitors the progression of HIV, is incorrect as the ELISA test only indicates the presence of HIV antibodies in the blood, and does not monitor the progression of HIV. Choice C is wrong because, the test results are accurate 24 hr after HIV exposure, is incorrect as it takes at least 2-4 weeks for HIV antibodies to develop in the blood after exposure to the virus. Choice D is wrong because, a positive result indicates initiation of immunoglobulin administration, is incorrect as there is no treatment for HIV with immunoglobulin.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","D"]

Explanation

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Correct Answer is A

Explanation

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