An adolescent student reports to the school nurse’s office and states having had a persistent headache all morning and requests acetaminophen. Which intervention is most important for the nurse to implement?
Obtain a medication history for the last 30 days.
Ask about factors that may have caused the headache.
Review the student's school record for absenteeism.
Offer the adolescent a small snack and bottled water.
The Correct Answer is B
Choice A reason: A medication history is useful but not the first priority. It helps identify overuse or contraindications, but understanding the cause of the headache is more immediately relevant to safe and effective care.
Choice B reason: Identifying potential triggers such as stress, dehydration, lack of sleep, or screen time helps guide appropriate intervention. This assessment ensures that treatment addresses the underlying issue rather than masking symptoms.
Choice C reason: Reviewing absenteeism may provide context for chronic issues but does not help manage the current complaint. It is more relevant for long-term follow-up.
Choice D reason: Offering a snack and water may relieve symptoms if the headache is due to hunger or dehydration, but it should follow an assessment of possible causes to avoid overlooking serious conditions.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Monitoring for disease progression is important but falls under secondary prevention. Tertiary prevention focuses on rehabilitation and optimizing function after disease onset.
Choice B reason: Family history is relevant for risk assessment and primary prevention. Compliance with the medical regimen is important but does not fully address the rehabilitative goals of tertiary care.
Choice C reason: Postoperative wound assessment is part of acute care and early recovery, not long-term rehabilitation. It is more aligned with secondary prevention.
Choice D reason: Evaluating exercise tolerance and psychosocial adaptation supports recovery and reintegration into daily life. These are key components of tertiary prevention, aimed at minimizing disability and improving quality of life.
Correct Answer is A
Explanation
Choice A reason: Healthy People 2030 is a national initiative focused on improving health outcomes across the lifespan. One of its core goals is to enhance the health and well-being of individuals and communities through evidence-based strategies and public health interventions.
Choice B reason: Organizational health and safety concerns may be addressed indirectly, but they are not a primary focus of Healthy People 2030. The initiative targets population-level health, not internal organizational priorities.
Choice C reason: Staff turnover is a human resources issue and not a goal of Healthy People 2030. The initiative does not focus on employment metrics or workforce retention.
Choice D reason: While workplace dignity is important, Healthy People 2030 does not specifically address professional respect for nurses. Its goals are broader and population-centered.
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