A school nurse is implementing health screenings. Which of the following assessment findings should the nurse recognize as the highest priority?
An adolescent who has scoliosis
An adolescent who has psoriasis
A child who has nits
A child who has a BMI of 18
The Correct Answer is C
Choice A is wrong because, "An adolescent who has scoliosis," Severe scoliosis may require treatment, such as a brace or surgery, but in general, scoliosis is not an acute health emergency. Early detection can help manage the condition effectively, but it is not a priority over more urgent health concerns.
Choice B is wrong because, "An adolescent who has psoriasis," is not the correct answer as it is not an urgent health issue that requires immediate attention.
Choice C is correct because, "A child who has nits," Nits are the eggs of lice, which are tiny parasitic insects that infest the scalp, causing itching and discomfort. While head lice infestation can be a nuisance, it is generally not dangerous. However, it is highly contagious, especially in a school setting, and can spread rapidly among children.
Choice D is wrong because, "A child who has a BMI of 18," is also not the correct answer as while it is important to address, it is not an urgent health issue that requires immediate attention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A is wrong because: Using wool blankets can generate static electricity, which can be a fire hazard.
Choice B The oxygen delivery system should be placed at least 5feet, not 3, away from a heating vent to prevent fire.
Choice C is wrong because: Petroleum jelly should not be used with oxygen therapy because it is flammable.
Choice D Checking the flow rate of oxygen daily is important as it ensures that the client is receiving the recommendedtherapy.
Correct Answer is D
Explanation
The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.
Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.
Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.
Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.
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