A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. Which of the following actions should the nurse take?
Ask the caregivers if the child recently used alcohol-based mouthwash.
Check the child's classmates for parotid gland enlargement.
Instruct the caregivers to increase the child's Vitamin B12 intake.
Review the immunization records of the child's classmates.
The Correct Answer is D
A. Koplik spots are specific to measles and not related to alcohol-based mouthwash.
B. Parotid gland enlargement is not associated with Koplik spots.
C. Vitamin B12 intake is not relevant to the presence of Koplik spots.
D. Reviewing immunization records is crucial because Koplik spots are a characteristic finding in measles, a vaccine-preventable disease.
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Related Questions
Correct Answer is C
Explanation
A. Down syndrome alone does not typically require alterations in the standard immunization schedule.
B. Sickle cell disease does not typically necessitate alterations in the standard immunization schedule.
C. Children with leukemia often have altered immune function and may require modifications to the immunization schedule based on their treatment plan.
D. Failure to thrive alone does not typically necessitate alterations in the standard immunization schedule.
Correct Answer is D
Explanation
A. Fear of pain is a common concern and does not necessarily indicate a risk for suicide.
B. Worrying about losing control over decision-making is a valid concern but not an immediate indicator of suicide risk.
C. Reliance on a partner for support is a coping mechanism and does not indicate a risk for suicide.
D. A statement like "I know that everything will be better soon" can be concerning if it suggests the client is considering ending their life to escape their situation, indicating a potential risk for suicide.
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