While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.
What should be the nurse’s response to this observation?
Review the child’s medical records for a list of allergies or sensitivities.
Inspect the child’s torso and arms for other signs of physical injury.
Advise the parents to start treatment with permethrin.
Recommend the parents to seek further medical evaluation for the child.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Converting written vehicle instructions into a pictorial format can help improve understanding, but it does not directly address the physical dangers associated with the machinery.
Choice B rationale
Educating farm workers not to smoke around farm equipment can prevent fires, but it does not directly reduce the risk of machinery-related injuries.
Choice C rationale
Offering rehabilitation services to injured farm workers is important, but it is a reactive measure. The goal should be to prevent injuries from occurring in the first place.
Choice D rationale
Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.
Correct Answer is ["B","C","D","E"]
Explanation
Answer and explanation
The correct answer is Choices B, C, D, and E.
Choice A rationale
Areas with negative-pressure airflow are typically used in healthcare settings to prevent the spread of airborne pathogens, not bloodborne pathogens.
Choice B rationale
Puncture-resistant sharps containers are a crucial part of an exposure control plan for bloodborne pathogens. They provide a safe way to dispose of sharps, reducing the risk of needlestick injuries.
Choice C rationale
Needleless medication delivery systems can significantly reduce the risk of needlestick injuries, thereby reducing the risk of exposure to bloodborne pathogens.
Choice D rationale
A vaccination schedule for Hepatitis B is an important part of an exposure control plan. Hepatitis B is a bloodborne pathogen, and vaccination is an effective way to prevent infection.
Choice E rationale
Personal protective equipment (PPE) is a key component of an exposure control plan. PPE such as gloves, gowns, and face shields can provide a barrier between the healthcare worker and potentially infectious material.
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