A school nurse is developing a program to promote healthy eating in school-age children. Which of the following interventions should the nurse include? (Select all that apply)

Have teachers and school personnel model healthy eating behaviors.

Recommend removing complex carbohydrate snacks from school vending machines

Provide fruits and vegetables as snacks at school sporting events.

Assist students in developing a recipe book of healthy foods:

Offer a dessert to students who finish their lunch.

Answer and Explanation

Correct Answer : A,C,D

Rationale:

A. Have teachers and school personnel model healthy eating behaviors: Children learn through observation, and consistent modeling by adults reinforces healthy habits in daily routines. When teachers demonstrate balanced meal choices, students are more likely to adopt similar behaviors. This strategy promotes a supportive environment that normalizes nutritious eating across the school.

B. Recommend removing complex carbohydrate snacks from school vending machines: Complex carbohydrates such as whole-grain items provide sustained energy and support healthy growth. Removing them could encourage replacement with less nutritious options. The goal is to limit high-sugar, high-fat snacks, not to eliminate nutrient-dense foods that benefit the child’s diet.

C. Provide fruits and vegetables as snacks at school sporting events: Offering fresh produce at athletic activities increases children's access to nutritious options during high-energy events. It helps shift the culture away from sugary snacks typically sold at sports venues. This approach supports hydration, recovery, and overall health maintenance in active students.

D. Assist students in developing a recipe book of healthy foods: Engaging children in creating a recipe book encourages active learning and empowers them to make informed food choices. It integrates nutrition education with creativity and helps students build long-term healthy eating skills. Sharing the book can also influence families and the wider community.

E. Offer a dessert to students who finish their lunch: Providing dessert as a reward reinforces unhealthy associations with food and promotes overeating. It teaches children to view sweets as a prize rather than an occasional treat. This approach undermines efforts to build healthy eating patterns and may contribute to long-term poor dietary habits.

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Correct Answer is ["A","F","G","H","I","J", "L"]

Explanation

Rationale for correct choices

• Temperature 38.2° C (100.8° F). An elevated temperature in a postpartum client may indicate infection, especially in the context of prolonged rupture of membranes and cesarean delivery. Prompt follow-up is required to identify the source and initiate treatment to prevent progression to sepsis.

• WBC count 33,000/mm³. A markedly elevated WBC suggests an active inflammatory or infectious process. In postpartum clients, leukocytosis can signal endometritis, mastitis, or surgical site infection, necessitating immediate assessment and intervention.

• Client reports feeling unwell. A general feeling of being ill or "not right" in a postpartum client with fever is a significant subjective finding often preceding more objective signs of infection/sepsis.

• Uterus firm at 1 cm above the umbillous and tender to palpation. Uterine tenderness combined with fever and foul-smelling lochia is a cardinal sign of endometritis (infection of the uterine lining), the most common postpartum infection, especially after Cesarean section.

• Moderate amount of dark brown, foul-smelling lochia. Foul-smelling lochia is a hallmark of uterine infection such as endometritis. Combined with fever and leukocytosis, this finding warrants urgent evaluation, monitoring, and possible initiation of antibiotics.

• Breasts firm, heavy, and warm with nipple discomfort. These signs are consistent with mastitis, particularly in a breastfeeding client. Early recognition and treatment with supportive measures or antibiotics prevent worsening infection and systemic involvement.

• Fundus boggy but firmed with massage. A boggy fundus indicates uterine atony, which can lead to postpartum hemorrhage. Immediate attention is required to prevent excessive blood loss and maintain hemodynamic stability.

Rationale for incorrect choices

• Vital signs: Heart rate while slightly elevated can be physiologic due to postpartum recovery, mild fever, or pain. Respiratory rate is within normal limits for adults; does not indicate acute compromise. Blood pressure is within normal postpartum range and does not signal hemodynamic instability at this time. Oxygen saturation is normal, indicating adequate oxygenation.

• Surgical incision well approximated with slight edema, no redness or drainage: Mild edema at the incision site is expected and not indicative of infection at this time. Regular monitoring is appropriate.

• No bowel movement since birth, hypoactive bowel sounds: Delayed bowel movements and hypoactive sounds are common postpartum, especially after cesarean section. Monitoring and supportive care are sufficient unless other symptoms develop.

A. Encourage the client to elevate their legs while in bed. B. Place an immobilizer on the affected leg. C. Implement bleeding precautions. D. Apply intermittent pneumatic compression devices to the unaffected leg. E. Instruct the client to expect dark stools.

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

Explanation

Rationale:

A. Encourage the client to elevate their legs while in bed: Elevating the affected leg helps reduce venous pressure, decreasing edema and discomfort associated with DVT. Elevation also promotes venous return, which can limit further clot propagation. This intervention provides symptom relief without increasing the risk of embolization.

B. Place an immobilizer on the affected leg: Immobilizers restrict movement and are used for musculoskeletal injuries, not for DVT management. Immobilization can worsen venous stasis by reducing circulation in the lower extremity. Instead, clients with DVT benefit from gentle mobility once anticoagulation is initiated, unless contraindicated, to prevent worsening clot burden.

C. Implement bleeding precautions: The client has diagnostic confirmation of DVT and will require anticoagulation, which increases bleeding risk. Bleeding precautions help prevent complications such as hematuria, bruising, or gastrointestinal bleeding. Monitoring for signs of bleeding and avoiding trauma are essential once therapy begins.

D. Apply intermittent pneumatic compression devices to the unaffected leg: IPC devices should not be applied to the affected limb due to the risk of dislodging the thrombus. However, using them on the unaffected leg promotes venous return and helps prevent additional clot formation.

E. Instruct the client to expect dark stools: Dark stools can indicate gastrointestinal bleeding, which is not an expected effect of DVT treatment. While anticoagulants can increase bleeding risk, the nurse should teach the client to report black or tarry stools immediately.

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A school nurse is developing a program to promote healthy eating in school-age children. Which of the following interventions should the nurse include? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","F","G","H","I","J", "L"]

Explanation

The nurse has reviewed the Provider Prescriptions at 1600. Exhibits Which of the following interventions should the nurse implement for the client with deep vein thrombosis? Select all that apply.

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

Explanation

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