The school nurse is conducting an audit of incident reports for adolescent students.
Which finding is the best indication that the Healthy People 2030 objectives are being addressed?

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.

Choice B rationale

Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptom.

Choice C rationale

Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to start treatment with permethrin would not be appropriate based on the information given.

Choice D rationale

Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.

Answer and explanation The correct answer is D. Choice A rationale

While contacting a larger hospital might provide some insights, it may not directly address the communication breakdown during a disaster. Each disaster situation and hospital setting is unique, and what works for one may not work for another.

Choice B rationale

Finding out who did not follow the communication tree might help identify gaps in the process, but it does not necessarily solve the immediate issue of communication breakdown during a disaster.

Choice C rationale

Having one person follow-up for the entire hospital might not be feasible or effective, especially during a disaster when quick and efficient communication is crucial.

Choice D rationale

Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.