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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This statement indicates a concern about financial stability, which is a valid concern but does not necessarily indicate adaptation to the caregiver role.
Choice B rationale
While rearranging furniture to accommodate a walker is a positive step towards creating a safe environment for the client, it does not necessarily indicate that the caregiver has fully adapted to their new role. It shows an effort to modify the physical environment, but adaptation to the caregiver role involves more than just physical changes.
Choice C rationale
Apologizing for the dishes piling up in the kitchen sink may indicate feelings of overwhelm or stress, which are common in new caregivers. However, this statement does not necessarily indicate adaptation to the caregiver role.
Choice D rationale
This statement indicates that the caregiver is taking steps to maintain their own well-being while also caring for their loved one. By arranging for a neighbor to come over so they can take time for themselves, the caregiver is demonstrating an understanding of the importance of
self-care in their new role. This is a key aspect of adapting to the caregiver role.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.
Choice B rationale
A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.
Choice C rationale
The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.
Choice D rationale
Financial instability can create stress and frustration, which can increase the risk of child abuse.
Choice E rationale
Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.
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