The community health center has observed a significant increase in influenza cases compared to previous years.
The nursing staff is tasked with reviewing outcome data to identify any trends in vaccination rates and reasons for any decline.
What actions should the nursing team take to gather data for analysis?

Answer and explanation

The correct answer is C.

Choice A rationale

Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.

Choice B rationale

Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.

Choice C rationale

Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.

Choice D rationale

Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.

Choice B rationale

Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.

Choice C rationale

Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.

Choice D rationale

The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.