A school nurse is implementing health screenings.
Which of the following assessment findings should the nurse recognize as the highest priority?
An adolescent who has psoriasis.
A child who has a BMI of 18.
An adolescent who has scoliosis.
A child who has nits.
The Correct Answer is C
An adolescent who has scoliosis should be recognized as the highest priority because scoliosis can progress rapidly during growth spurts and can lead to long-term health problems if left untreated.
Choice A is incorrect because while psoriasis may require medical attention, it is not necessarily a high-priority condition.
Choice B is incorrect because a BMI of 18 falls within the normal range for children and adolescents and does not necessarily indicate a health concern.
Choice D is incorrect because while nits may indicate a lice infestation, it is not necessarily a high-priority condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Reviewing how the staff implements the plan during a hands-on practice drill is the most comprehensive method for the nurse to use to determine the effectiveness of the disaster plan. This allows the nurse to observe how well the staff understands and follows the plan in a simulated disaster situation.
Choice B is not the best answer because using inservices to have the staff discuss various disaster scenarios does not provide a comprehensive evaluation of the effectiveness of the plan.
Choice C is not the best answer because testing staff to determine their knowledge of the principles of the plan only assesses their theoretical understanding and does not evaluate their ability to implement the plan in practice.
Choice D is not the best answer because analyzing findings from a facility tabletop disaster simulation only provides a limited evaluation of the effectiveness of the plan.
Correct Answer is A
Explanation
Koplik spots are a prodromic viral enanthem of measles manifesting two to three days before the measles rash itself1. They are pathognomonic for measles1. The nurse should review the immunization records of the child’s classmates to ensure they are protected against measles.
Choice B is not the answer because parotid gland enlargement is not a symptom of measles.
Choice C is not the answer because increasing Vitamin B intake is not a treatment for measles.
Choice D is not the answer because using alcohol-based mouthwash is not related to Koplik spots or measles.
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