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 B
Explanation
A. Protective isolation is not necessary for this client.
B. Log rolling every 4 hours maintains spinal alignment and prevents strain on the surgical area.
C. PCA pumps are often used for pain control after major surgeries like spinal instrumentation.
D. Keeping the head of the bed at a low angle (no more than 30°) helps reduce strain on the spine.
Correct Answer is ["24.9"]
Explanation
To calculate the dosage of digoxin for the infant, first convert the weight from pounds to kilograms, knowing that 1 pound is approximately 0.453592 kilograms. The infant weighs 22 pounds, which is equivalent to 22 * 0.453592 = 9.979024 kilograms. The prescribed dose is 5 micrograms per kilogram per day, so the total daily dose is 5 micrograms/kg * 9.979024 kg = 49.89512 micrograms per day. Since the medication is to be given in two divided doses, each dose should be half of the daily total. Therefore, each dose would be 49.89512 micrograms/day / 2 = 24.94756 micrograms per dose. Rounded to one decimal place, the nurse should administer 24.9 micrograms of digoxin per dose.
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