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 D
Explanation
Choice A reason: Determining potential funding sources for the program is an important action, but not the first one. The nurse should first assess the needs of the target population, such as the number of older adults who need the service, their nutritional status, their preferences, and their barriers to access food.
Choice B reason: Inquiring about the availability of volunteers is an important action, but not the first one. The nurse should first assess the needs of the target population, and then plan the resources and personnel needed to implement the program.
Choice C reason: Identifying alternative solutions to address concerns is an important action, but not the first one. The nurse should first assess the needs of the target population, and then identify the possible challenges and solutions to deliver the service effectively and efficiently.
Choice D reason: Performing a needs assessment is the first action that the nurse should take, as it provides the basis for planning, implementing, and evaluating the program. A needs assessment involves collecting and analyzing data about the health status, needs, and resources of the target population and the community. It helps to identify the gaps, priorities, and goals of the program.
Correct Answer is D
Explanation
Choice A reason: The vaccine is not the host, as it is not a living organism that can be infected by the virus. The vaccine is a preventive measure that can reduce the risk of contracting mumps by stimulating the immune system to produce antibodies against the virus.
Choice B reason: The virus is not the host, as it is the agent that causes the disease. The virus is a microscopic particle that can only replicate inside the cells of a living host.
Choice C reason: The school is not the host, as it is the environment that facilitates the transmission of the virus. The school is a place where many children gather and interact, which increases the exposure and contact with the virus.
Choice D reason: The children are the host, as they are the living organisms that can be infected by the virus. The children are susceptible to the virus because they may not have been vaccinated or have not developed immunity from previous exposure. The children can also spread the virus to others through respiratory droplets or saliva.
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