While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.
What should be the nurse’s response to this observation?

Answer and explanation The correct answer is C. Choice A rationale

While applying antibiotic ointment to the sores might help prevent infection, it does not address the underlying issue causing the sores and poor healing.

Choice B rationale

Although a diet rich in nutrients can promote wound healing, it is not the most immediate need for this client. The client’s symptoms suggest a serious underlying condition that requires medical evaluation.

Choice C rationale

The client’s symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.

Choice D rationale

Sending the client to the emergency department for treatment might be necessary in some cases, but it is more appropriate to first refer the client to a healthcare provider for a complete evaluation.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Converting written vehicle instructions into a pictorial format can help improve understanding, but it does not directly address the physical dangers associated with the machinery.

Choice B rationale

Educating farm workers not to smoke around farm equipment can prevent fires, but it does not directly reduce the risk of machinery-related injuries.

Choice C rationale

Offering rehabilitation services to injured farm workers is important, but it is a reactive measure. The goal should be to prevent injuries from occurring in the first place.

Choice D rationale

Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.