A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa.
What should be the nurse’s next course of action?

Review the immunization records of the child’s classmates.

Advise the caregivers to increase the child’s Vitamin B intake.

Examine the child’s classmates for enlargement of the parotid gland.

Contact the local health department.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Reviewing the immunization records of the child’s classmates might be a subsequent step after confirming the diagnosis and reporting to the health department. However, the immediate action should be to contact the local health department.

Choice B rationale

Advising the caregivers to increase the child’s Vitamin B intake is not relevant in this context. Koplik spots are a sign of measles, a viral infection, and increasing Vitamin B intake would not affect the course of this disease.

Choice C rationale

Examining the child’s classmates for enlargement of the parotid gland is not appropriate because enlargement of the parotid gland is a symptom of mumps, not measles.

Choice D rationale

Contacting the local health department is the correct action. Koplik spots are a characteristic sign of measles, a highly contagious and reportable disease. The local health department can provide guidance on further steps, including confirmation of the diagnosis, treatment, and measures to prevent the spread of the disease.

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Correct Answer is B

Explanation

Choice A rationale

Storing used syringes in a biohazard bag before discarding is not the recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should be placed in FDA-cleared sharps disposal containers.

Choice B rationale

This is the correct answer. Used syringes should be discarded in a hard, plastic container, such as a detergent bottle or a sharps container. These containers prevent needle-stick injuries during the disposal process.

Choice C rationale

Taking containers of used syringes to the local recycling center is not a safe or recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should not be recycled.

Choice D rationale

While wearing gloves can provide an extra layer of protection when handling used syringes, it is not a sufficient method for safe disposal. Used syringes should be immediately placed in a hard, plastic container after use.

A. Administer oxygen therapy. B. Establish a triage area. C. Notify the parents of the students. D. Contact the local health department.

Correct Answer is B

Explanation

Choice A rationale

Administering oxygen therapy is a specific medical intervention that may not be immediately necessary or appropriate depending on the cause of the symptoms. It would be more appropriate to first establish a triage area to assess the severity of the students’ conditions.

Choice B rationale

Establishing a triage area is the correct immediate action. This allows the nurse to quickly assess the severity of each student’s condition, prioritize care, and determine the appropriate next steps.

Choice C rationale

Notifying the parents of the students might be a subsequent step after assessing the students and determining the cause of the symptoms. However, it should not be the immediate action.

Choice D rationale

Contacting the local health department would be appropriate if there was a suspicion of a public health emergency, such as an outbreak of a communicable disease. However, the immediate action should be to assess the students and provide necessary care.

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A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa. What should be the nurse’s next course of action?

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A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa.
What should be the nurse’s next course of action?