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 D
Nits are the eggs of head lice and their presence indicates an infestation. Head lice can spread quickly among school children through close contact and shared items such as hats and combs. It is important for the school nurse to address this issue promptly to prevent further spread.
Choice A, an adolescent who has psoriasis, is not the highest priority because psoriasis is a chronic skin condition that is not contagious.
Choice B, a child who has a BMI of 18, is also not the highest priority because a BMI of 18 falls within the normal range for children.
Choice C, an adolescent who has scoliosis, is not the highest priority because scoliosis is a curvature of the spine that typically develops slowly over time and requires monitoring rather than immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This outcome addresses the ethical principle of distributive justice by ensuring that resources, in this case Medicare benefits, are distributed fairly and equitably to those who are eligible to receive them.
Choice A, “Clients verbalize their right to refuse treatment,” addresses the ethical principle of autonomy, which is the right of individuals to make decisions about their own healthcare.
Choice B, “Clients understand their right to confidentiality,” addresses the ethical principle of confidentiality, which is the obligation to protect a client’s personal health information.
Choice D, “Clients demonstrate completion of advance directives,” addresses the ethical principle of autonomy by allowing clients to make decisions about their future healthcare.
Correct Answer is A
Explanation
It is important for the nurse to understand how the adolescent’s health has affected the family dynamics and roles in order to provide appropriate support and care.
Choice B is not the answer because focusing the discussion on the adolescent’s future career plans may not be relevant or appropriate at this time.
Choice C is not the answer because it is important to include the adolescent in the conversation and not avoid discussing their health.
Choice D is not the answer because it is not appropriate for the nurse to ask another family from the same faith congregation to attend the meeting without first discussing it with the adolescent and their family.
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