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 A

Explanation

The correct answers are A. Organize a program to promote skateboard safety and C. Teach a class about the risks of cigarette smoking.

Primary prevention focuses on activities that prevent disease or injury before they occur. This includes education, safety programs, and health promotion efforts to reduce risk factors in the community.

Here’s why these choices align with primary prevention:

A. Organize a program to promote skateboard safety – Encouraging safe practices and protective equipment use helps prevent injuries before they happen.
C. Teach a class about the risks of cigarette smoking – Educating students on health risks helps prevent smoking initiation, reducing future complications like lung disease.

The other options represent different levels of prevention:

B. Lobby for funding for health promotion efforts – While important, lobbying is an advocacy action, not direct prevention. It supports primary prevention efforts but isn't a standalone preventive measure.
D. Recommend a seating arrangement for a child in a body cast – This falls under tertiary prevention, which focuses on adapting care for existing conditions rather than preventing health issues in the first place.

A. Substance abuse prevention. B. Sports injury prevention. C. Gun safety. D. Motor vehicle safety.

Correct Answer is D

Explanation

Choice A rationale

Substance abuse prevention is an important topic for adolescents, but it is not the leading cause of death in this age group. While substance abuse can lead to fatal overdoses, accidents, and health problems, it is not the primary cause of death.

Choice B rationale

Sports injury prevention is important for adolescents, especially those involved in physical activities. However, sports injuries are not the leading cause of death among adolescents.

Choice C rationale

Gun safety is a critical issue, especially in areas with high rates of gun violence. However, it is not the leading cause of death among adolescents.

Choice D rationale

Motor vehicle safety is the correct answer. Motor vehicle accidents are the leading cause of death among adolescents. Therefore, education on safe driving practices and the dangers of distracted or impaired driving should be a priority.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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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?