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 ["A","B","D"]
Explanation
The correct answers are A. “I can discontinue hospice care whenever I want.”, B. “I can receive care in the hospital or at home.”, and D. “I will receive care from a variety of interprofessional team members.”
Choice A rationale:
Clients have the right to discontinue hospice care at any time if they choose to pursue curative treatments or if their condition improves.
Choice B rationale:
Hospice care can be provided in various settings, including the client’s home, a hospital, a nursing home, or a hospice facility.
Choice C rationale:
This statement is incorrect. Medicare does cover hospice services for eligible patients, so private insurance is not necessary.
Choice D rationale:
Hospice care involves a multidisciplinary team approach, including doctors, nurses, social workers, chaplains, and other professionals to address the holistic needs of the patient.
Choice E rationale:
Hospice care is typically recommended when a patient is expected to have six months or less to live, not one year.
Correct Answer is ["A","B","C"]
Explanation
The correct answers are choices A, B, and C.
Choice A rationale:
Maintaining the head of the client’s bed in an elevated position after eating can help reduce nausea by preventing gastric reflux and promoting better digestion.This position helps keep stomach contents from moving back up into the esophagus, which can trigger nausea.
Choice B rationale:
Assisting the client in using guided imagery is a beneficial non-pharmacological intervention for managing chemotherapy-induced nausea.Guided imagery involves using mental visualization techniques to create calming and positive images, which can help distract the mind from nausea and reduce its intensity.
Choice C rationale:
Providing sips of room-temperature ginger ale between meals can help alleviate nausea. Ginger has natural antiemetic properties that can help soothe the stomach and reduce nausea.Room-temperature liquids are often easier to tolerate than cold or hot beverages.
Choice D rationale:
Using seasonings to enhance the flavor of foods is not typically recommended for clients experiencing chemotherapy-induced nausea. Strong flavors and smells can sometimes exacerbate nausea rather than alleviate it.Bland, easy-to-digest foods are usually better tolerated.
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