A school nurse is implementing health screening. Which of the following assessment findings should the nurse recognize as the highest priority?
A child who has a BMI of 18
An adolescent who has scoliosis
An adolescent who has psoriasis
A child who has nits
The Correct Answer is D
Choice A reason: A child who has a BMI of 18 is not the highest priority, as it is within the normal range for children. BMI, or body mass index, is a measure of weight relative to height. A BMI of 18 is considered healthy for children aged 2 to 20 years, according to the Centers for Disease Control and Prevention (CDC). The nurse should monitor the child's growth and development and provide nutrition education as needed.
Choice B reason: An adolescent who has scoliosis is not the highest priority, as it is a common and usually mild condition. Scoliosis is a sideways curvature of the spine that affects about 3% of adolescents. Most cases of scoliosis are mild and do not require treatment, although some may need braces or surgery. The nurse should refer the adolescent to a specialist for further evaluation and management.
Choice C reason: An adolescent who has psoriasis is not the highest priority, as it is a chronic and non-contagious condition. Psoriasis is a skin disorder that causes red, scaly patches on the skin that may itch or burn. Psoriasis is not curable, but it can be controlled with medications, creams, or light therapy. The nurse should provide education and support to the adolescent and encourage them to seek medical care as needed.
Choice D reason: A child who has nits is the highest priority, as it indicates a parasitic infestation that can spread to others. Nits are the eggs of head lice, which are tiny insects that live on the scalp and feed on blood. Head lice can cause itching, irritation, and infection of the scalp. The nurse should isolate the child and notify the parents and the school staff. The nurse should also provide instructions on how to treat the infestation and prevent reinfestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Administrator is not the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. An administrator is a nurse who is responsible for planning, organizing, directing, and controlling the delivery of health care services within an organization or a unit.
Choice B reason: Nurse consultant is not the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. A nurse consultant is a nurse who provides expert advice and guidance to clients, organizations, or other health care professionals on specific issues or problems.
Choice C reason: Case manager is the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. A case manager is a nurse who coordinates the care of a client across the continuum of health care settings and services. A case manager assesses the client's needs, develops a plan of care, facilitates the delivery of appropriate interventions, and evaluates the outcomes.
Choice D reason: Clinician is not the role that the nurse is functioning in when arranging for an occupational therapist to visit the client. A clinician is a nurse who provides direct care to clients in various settings, such as hospitals, clinics, or homes. A clinician performs assessments, diagnoses, treatments, and evaluations of the client's health status.
Correct Answer is D
Explanation
Choice A reason: Reviewing flashcards that identify holding techniques with the group is not an instructional strategy that the nurse should use to promote psychomotor learning. This is a cognitive strategy that can help the participants to recall and recognize the information, but it does not involve the practice or performance of the skills.
Choice B reason: Showing the group a video on breastfeeding techniques is not an instructional strategy that the nurse should use to promote psychomotor learning. This is an affective strategy that can help the participants to observe and appreciate the techniques, but it does not involve the practice or performance of the skills.
Choice C reason: Facilitating a discussion group about the benefits of breastfeeding is not an instructional strategy that the nurse should use to promote psychomotor learning. This is an affective strategy that can help the participants to express and share their opinions and feelings, but it does not involve the practice or performance of the skills.
Choice D reason: Providing dolls for the participants to demonstrate positioning is an instructional strategy that the nurse should use to promote psychomotor learning. This is a psychomotor strategy that can help the participants to apply and practice the skills in a simulated setting, and to receive feedback and guidance from the nurse.
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