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?
Review the immunization records of the child's classmates.
Check the child's classmates for parotid gland enlargement.
Instruct the caregivers to increase the child's Vitamin B intake.
Ask the caregivers if the child recently used alcohol-based mouthwash.
The Correct Answer is A
Koplik spots are a prodromic viral enanthem of measles manifesting two to three days before the measles rash itself1. They are pathognomonic for measles1. The nurse should review the immunization records of the child’s classmates to ensure they are protected against measles.
Choice B is not the answer because parotid gland enlargement is not a symptom of measles.
Choice C is not the answer because increasing Vitamin B intake is not a treatment for measles.
Choice D is not the answer because using alcohol-based mouthwash is not related to Koplik spots or measles.
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Related Questions
Correct Answer is D
Explanation
I will be taking medication daily for at least 6 months. TB disease is curable and is treated by a standardized course of treatment usually including 4 antibacterial medicines1. TB treatment can take 4, 6, or 9 months depending on the regimen2.
Choice Ais not correct because a person with TB will not be contagious after they have been on appropriate treatment for a sufficient amount of time and their sputum tests are negative.
Choice Bis not correct because a special HEPA filter is not necessary for TB treatment.Choice C is not correct because a repeat tuberculin skin test is not necessary after a confirmed case of TB.
Correct Answer is D
Explanation
According to the World Health Organization, unintentional injuries, especially road traffic accidents, are the leading cause of death and disability among adolescents1. As a category of accidents, motor vehicle fatality is the leading cause of death among teenagers2.
Choice A is not the answer because sports injury prevention is not mentioned as a leading cause of death for adolescents.
Choice B is not the answer because substance abuse prevention is not mentioned as a leading cause of death for adolescents.
Choice C is not the answer because gun safety is not mentioned as a leading cause of death for adolescents.
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