A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa.
What should be the nurse’s next course of action?

Review the immunization records of the child’s classmates.

Advise the caregivers to increase the child’s Vitamin B intake.

Examine the child’s classmates for enlargement of the parotid gland.

Contact the local health department.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Reviewing the immunization records of the child’s classmates might be a subsequent step after confirming the diagnosis and reporting to the health department. However, the immediate action should be to contact the local health department.

Choice B rationale

Advising the caregivers to increase the child’s Vitamin B intake is not relevant in this context. Koplik spots are a sign of measles, a viral infection, and increasing Vitamin B intake would not affect the course of this disease.

Choice C rationale

Examining the child’s classmates for enlargement of the parotid gland is not appropriate because enlargement of the parotid gland is a symptom of mumps, not measles.

Choice D rationale

Contacting the local health department is the correct action. Koplik spots are a characteristic sign of measles, a highly contagious and reportable disease. The local health department can provide guidance on further steps, including confirmation of the diagnosis, treatment, and measures to prevent the spread of the disease.

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Correct Answer is A

Explanation

Choice A rationale

Airborne precautions are recommended for a client who has laryngeal tuberculosis. This is because tuberculosis is an airborne disease, meaning it is spread through the air when a person with active tuberculosis in their lungs or throat coughs, sneezes, speaks, or sings.

Choice B rationale

A protective environment is not specifically required for a client with laryngeal tuberculosis. This type of precaution is typically used for patients who are severely immunocompromised, such as those undergoing stem cell transplants.

Choice C rationale

Contact precautions are not necessary for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread by direct or indirect contact, which is not the case with tuberculosis.

Choice D rationale

Droplet precautions are not recommended for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread through droplets in the air, such as influenza or pertussis, but tuberculosis requires airborne precautions due to the smaller size and longer airborne life of the tuberculosis bacteria.

A. The website provides a peer-review process for publishing information. B. The website is updated every 5 years. C. The website is hosted by a dialysis equipment marketing group. D. The website is sponsored by a health care political action committee.

Correct Answer is A

Explanation

Choice A rationale

A website that provides a peer-review process for publishing information is likely to offer reliable and accurate content. This is crucial when selecting resources for a client undergoing dialysis.

Choice B rationale

A website that is updated every 5 years may not provide the most current and relevant information. In the field of healthcare, information and best practices can change rapidly.

Choice C rationale

A website hosted by a dialysis equipment marketing group may have a commercial bias, which could affect the objectivity and reliability of the information provided.

Choice D rationale

A website sponsored by a health care political action committee may focus more on policy and advocacy issues rather than providing comprehensive, unbiased health information.

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A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa. What should be the nurse’s next course of action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa.
What should be the nurse’s next course of action?