The school nurse is preparing a presentation for elementary school teachers to inform them about when a child should be referred to the school clinic for further follow-up. The teachers should be instructed to report which situation(s) to the school nurse? Select all that apply.
Shaking that changes the child's handwriting legibility.
Thirst and frequent requests for bathroom breaks.
Refusal to complete written homework assignments.
Bruises on both knees after the weekend.
Sunburn with blisters on the face, arms, and hands.
Correct Answer : A,B,E
Choice A reason: Shaking that affects a child's handwriting could indicate a neurological issue or other medical conditions that require immediate attention. It's essential for teachers to report such observations to the school nurse for proper assessment and intervention.
Choice B reason: Excessive thirst and frequent urination can be signs of diabetes, especially in children. Early detection and management are crucial for the child's health, making it important for teachers to report these symptoms.
Choice C reason: While refusal to complete homework could be related to behavioral or social issues, it is not typically a medical concern that requires the school nurse's intervention unless accompanied by other signs of distress or health problems.
Choice D reason: Bruises could be common in children due to their active nature, especially after a weekend. However, unless there is a pattern or other concerning signs of abuse or a medical condition, bruises alone may not necessitate a referral to the school nurse.
Choice E reason: Sunburn with blisters is a sign of a second-degree burn, which can be serious, especially in children. It is important for teachers to report this to the school nurse so that the child can receive proper care and parents can be advised on treatment and prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["67"]
Explanation
Step 1: Convert the volume of fluid to be infused from mL to mL (since the rate is usually measured in mL/hr):
100 mL = 100 mL (No conversion needed as the volume is already in mL)
Step 2: Convert the time for infusion from hours to hours (since the rate is usually measured in mL/hr):
1.5 hours = 1.5 hours (No conversion needed as the time is already in hours)
Step 3: Calculate the rate (volume ÷ time):
Rate = Volume ÷ Time
Rate = 100 mL ÷ 1.5 hours
Rate = 66.67 mL/hr
So, the nurse should program the infusion pump to deliver at a rate of 67 mL/hr (rounded to the nearest whole number
Correct Answer is D
Explanation
Choice A reason: Assuming care of the client and reassigning the PN does not address the immediate need to correct the client's position for the sigmoidoscopy.
Choice B reason: While assistance may be needed, it is more important to first ensure that the client is in the correct position for the procedure.
Choice C reason: Acknowledging the PN's action would be incorrect since the client has not been positioned safely and correctly for a sigmoidoscopy.
Choice D reason: Demonstrating the correct positioning ensures the procedure can be performed effectively and safely, which is the nurse's immediate responsibility.
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