During a routine visit to a physical education class, a nurse receives multiple complaints of shortness of breath, coughing, and nausea.
What should be the nurse’s immediate action?

Administer oxygen therapy.

Establish a triage area.

Notify the parents of the students.

Contact the local health department.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Administering oxygen therapy is a specific medical intervention that may not be immediately necessary or appropriate depending on the cause of the symptoms. It would be more appropriate to first establish a triage area to assess the severity of the students’ conditions.

Choice B rationale

Establishing a triage area is the correct immediate action. This allows the nurse to quickly assess the severity of each student’s condition, prioritize care, and determine the appropriate next steps.

Choice C rationale

Notifying the parents of the students might be a subsequent step after assessing the students and determining the cause of the symptoms. However, it should not be the immediate action.

Choice D rationale

Contacting the local health department would be appropriate if there was a suspicion of a public health emergency, such as an outbreak of a communicable disease. However, the immediate action should be to assess the students and provide necessary care.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Airborne precautions are recommended for a client who has laryngeal tuberculosis. This is because tuberculosis is an airborne disease, meaning it is spread through the air when a person with active tuberculosis in their lungs or throat coughs, sneezes, speaks, or sings.

Choice B rationale

A protective environment is not specifically required for a client with laryngeal tuberculosis. This type of precaution is typically used for patients who are severely immunocompromised, such as those undergoing stem cell transplants.

Choice C rationale

Contact precautions are not necessary for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread by direct or indirect contact, which is not the case with tuberculosis.

Choice D rationale

Droplet precautions are not recommended for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread through droplets in the air, such as influenza or pertussis, but tuberculosis requires airborne precautions due to the smaller size and longer airborne life of the tuberculosis bacteria.

A. Educate the workers on the importance of safety goggles. B. Conduct visual screenings for workers operating equipment. C. Demonstrate proper lifting techniques for the workers. D. Encourage the workers to use back braces provided by the employer. E. Refer workers who report difficulty hearing for further auditory testing.

Correct Answer is B

Explanation

Choice A rationale

Educating the workers on the importance of safety goggles is an example of primary prevention. It aims to prevent eye injuries before they occur.

Choice B rationale

Conducting visual screenings for workers operating equipment is an example of secondary prevention. It aims to identify and treat vision problems at an early stage.

Choice C rationale

Demonstrating proper lifting techniques for the workers is an example of primary prevention. It aims to prevent musculoskeletal injuries before they occur.

Choice D rationale

Encouraging the workers to use back braces provided by the employer is an example of primary prevention. It aims to prevent back injuries before they occur.

Choice E rationale

Referring workers who report difficulty hearing for further auditory testing is an example of secondary prevention. It aims to identify and treat hearing problems at an early stage.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During a routine visit to a physical education class, a nurse receives multiple complaints of shortness of breath, coughing, and nausea. What should be the nurse’s immediate action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

Correct Answer is A

Explanation

An occupational health nurse is planning health promotion activities for a group of workers in a local manufacturing plant.Which of the following are secondary prevention activities the nurse should plan to include? (Select all that apply.)

Correct Answer is B

Explanation

A home health nurse is visiting a client who has colon cancer.The client states, “I do not want any further treatment.”. What should the nurse do?

A nurse manager at a clinic is reviewing the preventative services offered to clients.Which of the following activities should the nurse identify as a secondary prevention activity?

A community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community?

A newly hired occupational health nurse is assessing hazards in the work environment. Which action will assist the nurse in detecting potential physical hazards?

A school nurse is examining a child who has a toothache and bruises on both knees.Which of the following observations should the nurse report as a potential sign of maltreatment at home?

A community health nurse has been asked by a faith-based organization to develop a mobile meal program for older adults who no longer drive.Which of the following actions should the nurse plan to take first?

Which statement by a newly licensed nurse indicates an understanding of maintaining client confidentiality according to HIPAA regulations?

A home health nurse is instructing a client with diabetes mellitus on the correct disposal of insulin syringes. Which statement by the client indicates they have understood the teaching?

During a routine visit to a physical education class, a nurse receives multiple complaints of shortness of breath, coughing, and nausea.
What should be the nurse’s immediate action?