A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?
scheduling an immediate history and physical examination
calling for an appointment with a psychologist
asking the school psychologist to do psychometric testing
discussing the situation with the teacher
The Correct Answer is A
A. A history and physical examination is crucial to identify any underlying health issues.
B. A psychologist may help if mental health concerns are identified but is not the first priority.
C. Psychometric testing may be necessary later but is not an immediate priority.
D. Talking to the teacher may provide context but does not address the primary health concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing respiratory status and oxygen saturation is the priority to monitor for any respiratory distress.
B. Comfort measures can be provided but are secondary to assessing breathing difficulty.
C. Hydration is important but does not take precedence over respiratory assessment.
D. Administering a fever-reducing medication is supportive but does not address the breathing difficulty directly.
Correct Answer is A
Explanation
A. Respiratory status is the priority due to the risk of aspiration, chemical pneumonia, or airway swelling, which can be life-threatening.
B. Bowel sounds are relevant but are secondary to airway and respiratory assessment.
C. Burns of the mouth may be present but do not take priority over respiratory assessment.
D. Visual acuity is not an immediate concern in detergent ingestion cases.
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