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 D. Choice A rationale
Giving a complete bed bath to further assess the client may not be the most appropriate intervention in this case. The client is semi-conscious and cries out in pain when turned or moved. A complete bed bath could potentially cause unnecessary discomfort and distress.
Choice B rationale
Removing the fentanyl patch as directed by prescription may not be the best course of action. Fentanyl is a powerful opioid used to manage severe pain. The client’s parents report that their child cries out in pain when turned or moved, suggesting that the client is experiencing significant pain. Removing the fentanyl patch could potentially exacerbate the client’s pain.
Choice C rationale
Calling for ambulance transportation to the hospital immediately may not be necessary at this time. The client’s vital signs are stable, and there is no indication of an immediate medical emergency based on the information provided.
Choice D rationale
Discussing end-of-life decisions with the client’s parents is the most appropriate intervention. The client is semi-conscious, sleeps most of the time, and is in significant pain. These symptoms suggest that the client’s condition is deteriorating. It is important to have conversations about end-of-life care preferences and decisions to ensure that the client’s wishes are respected and that the parents are prepared.
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
An increase in requests for pregnancy tests does not necessarily indicate that the objectives of Healthy People 2030 are being met. It could reflect a variety of factors, including changes in sexual behavior, access to contraception, or education about reproductive health.
Choice B rationale
A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 20304.
Choice C rationale
A decrease in student enrollment does not necessarily indicate progress towards Healthy People 2030 objectives. It could be influenced by many factors unrelated to health, such as demographic shifts or changes in school policies.
Choice D rationale
An increase in absenteeism could suggest worsening health outcomes, which would be contrary to the goals of Healthy People 20304.
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