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 B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Applying oxygen via a nasal cannula might help alleviate the client’s shortness of breath, but it does not address the potential cause of the client’s symptoms.
Choice B rationale
Given the client’s symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client’s condition and respond appropriately.
Choice C rationale
Infusing IV fluid boluses might be necessary if the client is dehydrated, but there is no indication of this in the scenario.
Choice D rationale
Administering antiviral medication would be appropriate if the client were confirmed to have a viral infection. However, the client’s symptoms and history suggest a potential exposure to an unknown substance, which requires further evaluation.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is C.
Choice A rationale
Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.
Choice B rationale
Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.
Choice C rationale
Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
Choice D rationale
Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.
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