A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.
The nurse is reviewing the patient’s data. Which data warrants follow-up?
The patient reports being teased by his friends for being “overweight.”.
The patient prefers solitary play situations.
The patient lives with his mother and younger brother in subsidized housing in an inner city setting.
The patient reports becoming easily short of breath.
The Correct Answer is D
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.
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
Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.
Choice B rationale
Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.
Choice C rationale
Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.
Choice D rationale
Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.
Choice B rationale
Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.
Choice C rationale
While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.
Choice D rationale
Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.
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