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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While an annual health fair can provide valuable health screenings and education, it may not be the most critical resource for a rural community.

Choice B rationale

A family planning center can offer important services, but it may not be the most urgent need for the entire community.

Choice C rationale

Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.

Choice D rationale

While a plan for weather-related disasters is important, it does not address the everyday healthcare needs of the community.

A. Identify the issue the facility is facing. B. Determine two actions the incident team should take to address the issue. C. Identify two parameters the team should monitor to ensure all essential personnel are aware of the communication tree. D. All of the above.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Identifying the issue the facility is facing is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also determine actions to address the issue, identify parameters to monitor, and consider all of these steps together.

Choice B rationale

Determining actions to address the issue is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, identify parameters to monitor, and consider all of these steps together.

Choice C rationale

Identifying parameters to monitor to ensure all essential personnel are aware of the communication tree is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, determine actions to address the issue, and consider all of these steps together.

Choice D rationale

All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree. By considering all of these steps together, the Incident Command team can effectively address the communication issue and improve communication within the facility.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The public health nurse is assessing resources in a rural community. Which healthcare resource is of utmost importance to the community?

Correct Answer is C

Explanation

The Incident Command team discovers that over 30% of essential staff did not receive any communication.What should be done next?

Correct Answer is D

Explanation

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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?