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 Choice C.
Choice A rationale
While ensuring safe drinking water is important during a disaster, it may not be the most important content for a community health nurse to include in a disaster management class in a Gulf Coast town that caters to tourists.
Choice B rationale
Knowing available evacuation routes from the town is crucial during a disaster. However, in a Gulf Coast town that caters to tourists, the most significant threat is likely to be hurricanes.
Choice C rationale
Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.
Choice D rationale
While it’s important to know what actions to take during a tornado, tornadoes are not as common as hurricanes in Gulf Coast towns. Therefore, hurricane preparedness would be more relevant to include in the class.
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.
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