A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. What is the priority nursing action in this situation?
1. Call the respective parents to discuss the eating patterns of each adolescent.
2. Speak with the girls in a group to discuss the problems associated with anorexia nervosa.
3. Refer these adolescents to the school psychologist.
4. Obtain a nutritional history for each of these adolescents.
Correct Answer: 4
Rationale: The school nurse must evaluate why these three friends have all lost 15 pounds in one year. The best way to begin this assessment is to obtain a nutritional history for each client. Speaking with the parents would not be appropriate at this time. Discussing anorexia nervosa is too extreme, as is referring the adolescents to a school psychologist without performing a complete nursing assessment.
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