The newly hired school nurse understands that administering an emergency epi-pen as a result of a peanut allergy is which level of prevention?

Choice A reason: Sunscreen is primary prevention, not tertiary for existing issues. Medication fits tertiary. This errors per nursing standards. It’s universally distinct, preventive.

Choice B reason: Obtaining depression meds is tertiary, managing an existing condition. This aligns with public health standards. It’s universally distinct, showing tertiary understanding.

Choice C reason: Flu shots are primary prevention, not tertiary management. Medication is tertiary. This misaligns with nursing definitions. It’s universally distinct, not treatment.

Choice D reason: BP screening is secondary, not tertiary like managing depression. This errors per public health standards. It’s universally distinct, detection-focused.

Choice A reason: Thin-walled pustules with honey-colored crusts indicate impetigo, bacterial from Staphylococcus, not HPV. These rupture and crust due to pus, unlike HPV’s viral, proliferativewarts, which lack this infectious discharge, distinguishing them clinically and pathologically in skin lesion presentation entirely here.

Choice B reason: Vesicles ulcerating in 1-4 days fit herpes simplex, not HPV. Herpes causes rapid blistering and crusting from viral cell damage, contrasting HPV’s slower, cauliflower-like growth from epidermal hyperplasia, separating their lesion progression and appearance biologically and distinctly overall.

Choice C reason: HPV lesions, like genitalwarts from types 6 and 11, show cauliflower-like, elevated growths. This viral-induced keratinocyte proliferation creates rough, clustered warts, a unique hallmark distinguishing them from other infections’ ulcerative or pustular patterns clinically and pathologically here comprehensively.

Choice D reason: Solitary growths with elevated borders and central depression suggest basal cell carcinoma, not HPV. This cancerous lesion from UV damage differs from HPV’s viral, multi-clusteredwarts, lacking malignancy or central depression, separating them in appearance and etiology entirely and clearly.