The school nurse is implementing standards to manage students and provide a safe and healthy school setting. Which action is most important for the nurse to implement?
Develop an emergency plan for the school.
Conduct annual student health assessments.
Ensure that medical supplies are available.
Maintain student immunization records.
The Correct Answer is A
A. Developing an emergency plan for the school is the most important action because it directly impacts the safety and well-being of all students and staff during emergencies, such as fires, natural disasters, or violent incidents. A comprehensive emergency plan ensures rapid, organized responses, clear communication, and coordinated actions that can prevent injuries and save lives. This proactive measure is foundational to creating a safe school environment.
B. Conducting annual student health assessments is important for identifying chronic health conditions, growth concerns, or developmental issues. However, while this supports long-term student health, it does not immediately protect students in emergency situations.
C. Ensuring medical supplies are available is necessary for providing care to sick or injured students, but having supplies alone is insufficient without a coordinated plan for responding to emergencies. Supplies must be used within the context of established procedures.
D. Maintaining student immunization records is crucial for disease prevention and public health monitoring, but it does not directly address immediate safety or emergency preparedness. It is an administrative and preventive task rather than a life-saving measure in urgent situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A change in the sleep-wake cycle is an expected therapeutic effect of ramelteon, as the medication works by regulating melatonin receptors to improve sleep onset. This does not require reporting unless the change is extreme or harmful.
B. Mild sedation is a common and expected side effect of ramelteon, especially during the initial doses. It usually resolves with continued use and does not typically require intervention.
C. Dizziness after the initial dose is common and often transient. Clients should be advised to rise slowly from sitting or lying positions, and it usually does not necessitate immediate reporting unless severe or persistent.
D. Somnambulism (sleepwalking) is a serious adverse effect associated with ramelteon and other sleep medications. It increases the risk of injury to the client and others, and any occurrence should be reported promptly to the healthcare provider for evaluation and potential discontinuation or adjustment of the medication.
Correct Answer is B
Explanation
A. Advising the client not to take any OTC drugs is partially correct because OTC medications can interact with prescribed medications; however, it does not address the client’s current issue of duplicate prescriptions for the same indications, which could increase the risk of adverse effects. This instruction is too general and does not provide a practical action for resolving the problem.
B. Instructing the client to bring all medications, supplements, and herbs to the next clinic appointment is correct. This allows the healthcare provider to perform a complete medication reconciliation, identify duplicate or unnecessary prescriptions, and adjust therapy safely. This approach directly addresses the concern of multiple medications for the same indication and is a concrete, actionable step for preventing medication errors.
C. Using a medication reminder system is helpful for adherence but does not prevent duplication of therapy or identify unsafe combinations. While important for compliance, it does not address the underlying safety issue observed in the EMR.
D. Ensuring a family member knows the names and uses of medications is supportive for adherence and safety at home, but it does not resolve potential duplicate or unnecessary prescriptions. This instruction is supplemental and cannot replace a formal medication review by a healthcare provider.
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