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, Cognitive Behavioral Therapy.

Explanation: Cognitive-behavioral therapy (CBT) is a type of talk therapy that focuses on changing unhealthy patterns of thinking and behavior. CBT has been shown to be effective in treating alcohol use disorder by helping clients identify and change the thoughts and behaviors that lead to drinking. Options A, B, and D are incorrect because chelation therapy is used to treat heavy metal poisoning, naloxone is used to reverse opioid overdose, and methadone is used to treat opioid addiction.

A. "Clients who have STIs are legally required to provide a list of sexual partners." B. "Congress mandates the requirements for STI reporting." C. "Nurses should withhold the name of the client who has an STI during partner notification." D. "State health departments report selected STIs to the National Institutes of Health."

Correct Answer is D

Explanation

The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This statement indicates an understanding of the regulation regarding STI reporting, as state health departments are responsible for reporting selected STIs to the National Institutes of Health.

Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is not correct. While it is important for clients to provide information about their sexual partners to prevent further spread of STIs, it is not a legal requirement.

Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not correct. Congress does not mandate the requirements for STI reporting. It is the responsibility of state health departments to report selected STIs to the National Institutes of Health.

Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not correct. Nurses should not withhold the name of the client who has an STI during partner notification, as this is an important step in preventing the further spread of STIs.

Explanation: State health departments are responsible for reporting selected STIs to the National Institutes of Health. Clients are not legally required to provide a list of sexual partners, and Congress does not mandate the requirements for STI reporting. Nurses should not withhold the name of the client who has an STI during partner notification.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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