The practical nurse is assisting with the implementation of an obesity screening program in a pediatric clinic. It is best to begin the screening program with which group?
High school.
Elementary school.
Onset of puberty.
Kindergarten.
The Correct Answer is B
A. High school: Beginning screening at the high school level is too late for early intervention. By adolescence, many obesity-related habits and risk factors are already established, making prevention efforts less effective compared to earlier childhood interventions.
B. Elementary school: Screening during elementary school years is best because it allows early identification of unhealthy weight patterns. Early detection helps in promoting healthy lifestyle habits before adolescence, improving long-term outcomes and reducing the risk of chronic diseases.
C. Onset of puberty: While puberty brings significant physical changes, waiting until this stage may miss earlier opportunities for preventive education and intervention. Early habits formed in childhood often persist into adolescence and adulthood.
D. Kindergarten: Although health education can start early, formal obesity screening at kindergarten may be premature since normal variations in growth patterns are common at that age. Targeting elementary-aged children provides a better balance between early intervention and developmental appropriateness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rectus abdominis: The rectus abdominis is a muscle in the abdomen, not the thigh. It is not used for intramuscular injections, as it does not provide the necessary mass or safe anatomical location for such injections.
B. Rectus femoris: The rectus femoris is located in the mid anterior thigh and is a common site for intramuscular injections, especially when other sites are not ideal. It provides easy access, sufficient muscle mass, and fewer major nerves or blood vessels.
C. Gluteus medius: The gluteus medius is located in the upper outer quadrant of the buttock, commonly used for dorsogluteal or ventrogluteal injections, not for injections into the anterior thigh.
D. Gluteus maximus: The gluteus maximus forms the bulk of the buttocks and is used for dorsogluteal injections. It is not located in the anterior thigh and is associated with greater risk of hitting major nerves like the sciatic nerve.
Correct Answer is C
Explanation
A. Bruising: Bruising is more commonly associated with platelet disorders or clotting deficiencies rather than low calcium levels. It does not directly relate to the neuromuscular symptoms caused by hypocalcemia.
B. Pallor: Pallor is often a sign of anemia or poor perfusion, not a specific indicator of low serum calcium levels. While important to observe, it is not the most relevant concern in hypocalcemia.
C. Tetany: Tetany, characterized by muscle cramps, spasms, and sometimes severe convulsions, is a classic symptom of hypocalcemia. Low calcium levels increase neuromuscular excitability, leading to these involuntary muscle contractions, which require immediate monitoring and intervention.
D. Jaundice: Jaundice reflects elevated bilirubin levels, typically related to liver dysfunction, not calcium imbalance. It would not be expected in a client primarily experiencing malabsorption-induced hypocalcemia.
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