Which action by the school nurse is important in the prevention of rheumatic fever?
a. Encourage routine cholesterol screenings.
b. Conduct routine blood pressure screenings.
c. Refer children with sore throats for throat cultures.
d. Recommend salicylates instead of acetaminophen for minor discomforts.
ANS: C
Nurses have a role in prevention—primarily in screening school-age children for sore throats caused by group A ?-hemolytic streptococci. They can achieve this by actively participating in throat culture screening or by referring children with possible streptococcal sore throats for testing. Cholesterol and blood pressure screenings do not facilitate the recognition and treatment of group A ?-hemolytic streptococci. Salicylates should be avoided routinely because of the risk of Reye's syndrome after viral illnesses.
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A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse give to the couple? (Select all that apply.)
a. Donated embryos can be implanted into the surrogate mother. b. The surrogate mother needs to have carried one previous birth to term. c. You both need to be infertile to be eligible for surrogate parenting. d. Conception can take place outside the surrogate mother's body and then implanted. e. The surrogate mother can be inseminated artificially with sperm from the intended father.
The greatest barrier to treatment for the mentally ill can be minimized by:
a. possessing adequate insurance coverage. b. implementing effective treatment modalities. c. employing sufficient numbers of mental health practitioners. d. formulating appropriate, accurate assessment tools for diagnosis.
A school nurse is performing hearing screening on school children. The nurse recognizes that distortion of sound and problems in discrimination are characteristic of which type of hearing loss?
a. Conductive b. Sensorineural c. Mixed conductive-sensorineural d. Central auditory imperceptive