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?

Choice A rationale

While it’s important to respect the adolescent’s privacy and avoid causing embarrassment, directing the conversation solely to the parents may not fully address the needs of the adolescent. Adolescents with cancer often have their own questions and concerns, and they should be included in discussions about their care.

Choice B rationale

This is the correct answer. Understanding how the adolescent’s health has affected family roles can help the nurse provide appropriate support and resources. Cancer can significantly impact family dynamics, and addressing these changes is an important part of holistic care.

Choice C rationale

While discussing future career plans can be a part of the conversation, it should not be the primary focus of the meeting. The immediate concern is usually the adolescent’s health and well-being.

Choice D rationale

While support from the faith community can be beneficial, it’s important to respect the family’s privacy. Inviting another family from the same faith congregation to attend the meeting should only be done with the family’s consent.

Choice A rationale

Notifying spiritual support personnel about a client who requests a visit is an important aspect of holistic care, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.

Choice B rationale

Requesting a dietitian consult for a client who asks for information about a vegan diet is important for the client’s nutritional health, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.

Choice C rationale

Asking social services to inform a client about community support organizations is a valuable part of discharge planning, but it is not the nurse’s priority action when reviewing information

to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.

Choice D rationale

This is the correct answer. Informing the physical therapist of activity restrictions for a client following a hip arthroplasty is the nurse’s priority action when reviewing information to report to other members of the interprofessional team. This information is crucial for the physical therapist to plan appropriate therapy and to ensure the client’s safety during therapy sessions.