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 {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Rationale for Correct Choices

• opioid intoxication: The client is drowsy, difficult to arouse, and has a respiratory rate of 10/min, all of which are hallmark findings of opioid intoxication. The presence of a needle in the antecubital space and the need for naloxone also strongly support opioid involvement. The prior history also documents opioid misuse and prior treatment with buprenorphine/naloxone, further increasing the likelihood of opioid intoxication in this episode.

• pupil characteristics: Miotic (pinpoint) pupils are a classic indicator of opioid intoxication and help differentiate it from alcohol intoxication, which typically presents with normal or enlarged pupils. The pupil response directly supports the diagnosis when paired with respiratory depression and altered level of consciousness.

Rationale for Incorrect Choices

• Alcohol withdrawal: Alcohol withdrawal presents with agitation, tremors, diaphoresis, tachycardia, hypertension, and occasionally hallucinations. This client is drowsy with decreased respiratory rate and constricted pupils, which are inconsistent with alcohol withdrawal, making this diagnosis unlikely.

• Alcohol intoxication: Alcohol intoxication often presents with slurred speech, ataxia, and altered mental status, but pupils are usually normal in size and not constricted. There is also no evidence of significant alcohol consumption reported, making alcohol intoxication less likely in this scenario.

• Opioid withdrawal: Opioid withdrawal is characterized by mydriasis (dilated pupils), diaphoresis, piloerection, tachycardia, nausea, vomiting, and agitation. The client’s current presentation of drowsiness, miotic pupils, and respiratory depression is opposite of withdrawal symptoms, ruling out opioid withdrawal.

• Amount of alcohol consumed: The client reportedly had only one beer, which is insufficient to cause coma-level depression. Alcohol intoxication severe enough to cause unresponsiveness with respiratory depression would require significantly higher intake.

• Breath sounds: Clear breath sounds do not help distinguish the cause of the altered mental status. Breath sounds are more useful for identifying respiratory complications, not for differentiating intoxication types.

• Current temperature: A normal temperature does not help identify opioid intoxication versus withdrawal. Temperature fluctuations are more common in severe withdrawal states and are not diagnostic enough to determine the underlying cause in this scenario.

A. Sits steadily unsupported B. Changes from prone to sitting C. Rolls from back to abdomen D. Rolls from back to side

Correct Answer is C,D,B,A

Explanation

Rationale:

A. Sits steadily unsupported: Sitting independently is typically achieved around 7–9 months. It indicates advanced trunk control and balance, preparing the infant for crawling and further mobility.

B. Changes from prone to sitting: Moving from a prone (lying on the stomach) position to a sitting position develops around 6–8 months. This milestone requires coordinated strength in the neck, back, and abdominal muscles.

C. Rolls from back to abdomen: This is typically the first major gross motor milestone in infancy, usually occurring around 4–6 months. It demonstrates early trunk and neck muscle development.

D. Rolls from back to side: After mastering rolling from back to abdomen, infants usually roll from back to side, around 4–6 months as well. This skill shows increasing control of torso movements.

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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)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department. Exhibits The nurse reviews the medical record. Complete the following sentence by using the lists of options. The client likely experiencing dropdown as evidenced by dropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Correct Answer is C,D,B,A

Explanation

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