A school nurse is implementing health screening. Which of the following assessment findings should the nurse recognize as the highest priority?
A child who has a BMI of 18
An adolescent who has scoliosis
An adolescent who has psoriasis
A child who has nits
The Correct Answer is D
Choice A reason: A child who has a BMI of 18 is not the highest priority, as it is within the normal range for children. BMI, or body mass index, is a measure of weight relative to height. A BMI of 18 is considered healthy for children aged 2 to 20 years, according to the Centers for Disease Control and Prevention (CDC). The nurse should monitor the child's growth and development and provide nutrition education as needed.
Choice B reason: An adolescent who has scoliosis is not the highest priority, as it is a common and usually mild condition. Scoliosis is a sideways curvature of the spine that affects about 3% of adolescents. Most cases of scoliosis are mild and do not require treatment, although some may need braces or surgery. The nurse should refer the adolescent to a specialist for further evaluation and management.
Choice C reason: An adolescent who has psoriasis is not the highest priority, as it is a chronic and non-contagious condition. Psoriasis is a skin disorder that causes red, scaly patches on the skin that may itch or burn. Psoriasis is not curable, but it can be controlled with medications, creams, or light therapy. The nurse should provide education and support to the adolescent and encourage them to seek medical care as needed.
Choice D reason: A child who has nits is the highest priority, as it indicates a parasitic infestation that can spread to others. Nits are the eggs of head lice, which are tiny insects that live on the scalp and feed on blood. Head lice can cause itching, irritation, and infection of the scalp. The nurse should isolate the child and notify the parents and the school staff. The nurse should also provide instructions on how to treat the infestation and prevent reinfestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Early detection of disease is the primary goal of screening for lipid disorders, as it can identify clients who are at risk of developing cardiovascular diseases, such as coronary artery disease, stroke, or peripheral artery disease. Lipid disorders are abnormal levels of cholesterol or triglycerides in the blood, which can lead to plaque buildup in the arteries and reduce blood flow to the heart, brain, or limbs. Screening for lipid disorders can help diagnose and treat these conditions before they cause serious complications.
Choice B reason: Client enrollment in prevention programs is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Prevention programs are interventions that aim to reduce the risk factors or prevent the onset of diseases. Client enrollment in prevention programs may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be referred to programs that offer education, counseling, medication, or lifestyle modification.
Choice C reason: Promotion of appropriate lifestyle changes is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Lifestyle changes are behaviors that can improve health and well-being, such as eating a balanced diet, exercising regularly, quitting smoking, or managing stress. Promotion of appropriate lifestyle changes may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be advised to adopt healthier habits to lower their cholesterol or triglycerides.
Choice D reason: Identification of family history of medical problems is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Family history of medical problems is a genetic or environmental factor that can increase the likelihood of developing certain diseases. Identification of family history of medical problems may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be asked to provide information about their relatives' health conditions.
Correct Answer is D
Explanation
Choice A reason: Encouraging the family to join a support group is not the first action that the nurse should take. This is an important intervention that can help the family cope with the challenges and stress of caring for a client who has dementia, but it should be done after the nurse has established rapport and trust with the family.
Choice B reason: Providing the family with information about respite care is not the first action that the nurse should take. This is an important intervention that can help the family access temporary relief from their caregiving responsibilities, but it should be done after the nurse has assessed the family's needs and preferences.
Choice C reason: Educating the family regarding the progression of dementia is not the first action that the nurse should take. This is an important intervention that can help the family understand the nature and course of the disease, and prepare them for the future changes and challenges, but it should be done after the nurse has evaluated the family's level of knowledge and readiness to learn.
Choice D reason: Engaging the family in informal conversation is the first action that the nurse should take. This is based on the principle of communication, which states that the nurse should initiate and maintain a therapeutic relationship with the client and the family. The nurse should use informal conversation to introduce herself, express interest and empathy, and create a comfortable and respectful atmosphere. The nurse should also use open-ended questions, active listening, and nonverbal cues to elicit the family's concerns, expectations, and goals.
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