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 D
Explanation
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.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
Allowing the family to visit whenever they wish can provide emotional support to the client, which is important in palliative care. However, it may not directly address the physical symptoms associated with multiple sclerosis (MS), such as pain and anxiety.
Choice B rationale
Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client’s quality of life during the advanced stages of the disease.
Choice C rationale
Maintaining a quiet environment with low lighting can help create a calm and comfortable atmosphere for the client. However, it does not directly address the physical symptoms of MS34.
Choice D rationale
Allowing the client to participate in the care provided can promote a sense of control and autonomy. However, it may not directly address the physical symptoms associated with MS34.
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