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
While suggesting that the patient get a walker might help with mobility, it does not directly address the safety concerns in the home environment.
Choice B rationale
A medical alert device could be beneficial in case of emergencies, but it does not prevent the risk of falls or accidents in the home.
Choice C rationale
Ensuring the patient’s privacy is important, but it does not address the immediate safety concerns observed by the nurse.
Choice D rationale
Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
While an annual health fair can provide valuable health screenings and education, it may not be the most critical resource for a rural community.
Choice B rationale
A family planning center can offer important services, but it may not be the most urgent need for the entire community.
Choice C rationale
Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.
Choice D rationale
While a plan for weather-related disasters is important, it does not address the everyday healthcare needs of the community.
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