A 5-year-old patient has been brought in for a routine check-up and vaccination update.
The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks.
What actions should the nurse take?
Review the child’s medical history for any allergies or sensitivities.
Examine the child’s torso and arms for any signs of physical trauma.
Advise the parents to initiate treatment with permethrin.
Recommend the parents to seek further medical evaluation for the child.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Reviewing the child's medical history for any allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the child's symptoms of difficulty focusing in school and decreased appetite may not necessarily be related to allergies or sensitivities. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues²².
Choice B rationale
Examining the child's torso and arms for any signs of physical trauma is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptoms described by the mother do not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptoms.
Choice C rationale
Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to initiate treatment with permethrin would not be appropriate based on the information given.
Choice D rationale
Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues, which would require further investigation²².
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the ANA Code of Ethics provides general guidance on ethical nursing practice, it does not provide specific procedures for reporting elder abuse.
Choice B rationale
A nursing procedure manual might not contain the specific legal procedures for reporting elder abuse. These procedures can vary by jurisdiction.
Choice C rationale
State law often provides specific guidelines on how and when to report suspected elder abuse. Therefore, it would be the most appropriate resource for the nurse to use in this situation.
Choice D rationale
The Nurse Practice Act governs nursing practice in each state, but it might not provide detailed procedures for reporting elder abuse.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
The number of requests for pregnancy testing being higher than last year does not necessarily indicate that the Healthy People 2030 objectives are being addressed. It could suggest an increase in sexual activity among the students, which could lead to an increase in sexually transmitted infections or unplanned pregnancies if not managed properly.
Choice B rationale
A decrease in the number of sick days could suggest an improvement in the overall health of the students. However, it does not provide a comprehensive picture of the health status of the students. Other factors, such as the number of students participating in physical education or the overall health of the student population, should also be considered.
Choice C rationale
An increase in the number of students participating in physical education could suggest an improvement in the physical health of the students. However, it does not provide a comprehensive picture of the health status of the students. Other factors, such as the number of sick days or the overall health of the student population, should also be considered.
Choice D rationale
An improvement in the overall health of the student population is the best indication that the Healthy People 2030 objectives are being addressed. The Healthy People 2030 objectives aim to improve health and well-being nationwide. Therefore, an improvement in the overall health of the student population suggests that these objectives are being met.
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