During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?

Contact the local health department.

Establish a triage area.

Administer oxygen therapy.

Notify the parents of the students.

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.

Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.

Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.

Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.

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Correct Answer is B

Explanation

Choice A reason: Nodding and smiling are positive reactions, but they do not necessarily indicate understanding, as they can be polite responses or reflexive actions.

Choice B reason: Demonstration of learned content is a clear indication of understanding. When a client can replicate the teaching, it shows they have comprehended the information and are able to apply it.

Choice C reason: While wearing glasses and hearing aids can help a client see and hear the teaching better, it does not confirm that the client has understood the material presented.

Choice D reason: Frequent eye contact might suggest attentiveness, but like nodding and smiling, it is not a reliable indicator of comprehension.

A. Recommending a seating arrangement for a child in a body cast. B. Lobbying for funding for health promotion efforts. C. Creating a plan of care for children who have a diagnosis of diabetes mellitus. D. Organizing a program to promote skateboard safety. E. Teaching a class about risks of smoking cigarettes

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.

Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².

Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.

Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.

Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescents⁴.

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During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["B","D","E"]

Explanation

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