Some nursing students are discussing job options. One of the students states that a position as a school nurse sounds interesting. What is an important role of the school nurse?
1. Screening for congenital heart disease
2. Prescribing antibiotics for streptococcal pharyngitis
3. Developing a plan for emergency care of injured children
4. Diagnosing an ear infection
Correct Answer: 3
Rationale: Screening of students for certain conditions; educating students, teachers, and staff; and developing emergency plans are all roles of the school nurse. Diagnosing acute illness and prescribing medication for a new illness are beyond the scope of practice for the school nurse unless the nurse is licensed as an advance-practice nurse.
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A female patient is discharged from the hospital after having an episode of heart failure
She's prescribed daily oral doses of digoxin (Lanoxin) and furosemide (Lasix). Two days later, she tells her community health nurse that she feels weak and her heart "flutters" frequently. What action should the nurse take? A) Tell the patient to rest more often. B) Tell the patient to stop taking the digoxin, and call the physician. C) Call the physician, report the symptoms, and request to draw a blood sample to determine the patient's potassium level. D) Tell the patient to avoid foods that contain caffeine.
A 55-year-old male patient has an abnormal digital rectal examination (DRE) with a PSA (prostate-specific antigen) level of 18 ng/mL. The nurse realizes that this patient might be scheduled for which diagnostic test?
1. transrectal ultrasonography (TRUS) 2. bone scan 3. MRI 4. CT scan of the spine
A patient is admitted to the emergency department with possible fractures of the bones of the left lower extremity. The initial action by the nurse should be to
a. splint the lower leg. b. elevate the left leg. c. check the popliteal, dorsalis pedis, and posterior tibial pulses. d. obtain information about the patient's tetanus immunization status.