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 Choice C.
Choice A rationale
While immunizations are important for preventing many diseases, they are not typically associated with vertical transmission. Vertical transmission refers to the transmission of a disease or condition from mother to child during the period immediately before and after birth.
Choice B rationale
Feeding an infant spoiled food can potentially lead to foodborne illnesses, but it is not associated with diseases that are vertically transmitted.
Choice C rationale
Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk. Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.
Choice D rationale
While mosquito bites can transmit certain diseases, such as malaria or Zika virus, this is not considered a form of vertical transmission. Vertical transmission specifically refers to the transmission of diseases from mother to child during the period immediately before and after birth.
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
While contacting a larger hospital might provide some insights, it may not directly address the communication breakdown during a disaster. Each disaster situation and hospital setting is unique, and what works for one may not work for another.
Choice B rationale
Finding out who did not follow the communication tree might help identify gaps in the process, but it does not necessarily solve the immediate issue of communication breakdown during a disaster.
Choice C rationale
Having one person follow-up for the entire hospital might not be feasible or effective, especially during a disaster when quick and efficient communication is crucial.
Choice D rationale
Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.
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