The school nurse is assessing a teacher who has pediculosis. Which statement by the teacher makes the nurse suspect that the teacher did not comply with the instructions that were discussed in the classroom with the children?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. The teacher mentions fixing her daughter's hair with her brush, which suggests direct contact with her daughter's hair, potentially spreading the infestation. 2. Pediculosis is transmitted through close contact, so using the same brush on an infested person can lead to reinfestation. 3. This action goes against the instructions discussed in the classroom to prevent the spread of pediculosis. 4. Choices A, B, and C do not involve direct contact with potentially infested individuals, making them less likely to contribute to the spread of pediculosis.

Correct Answer: B

Rationale: The correct answer is B: Assess for airway patency. In this scenario, the client's burns are located on the face, neck, arms, and chest, which can lead to airway compromise due to swelling or inhalation injury. Assessing airway patency is crucial to ensure the client's ability to breathe. Immediate intervention may be necessary to prevent respiratory distress or failure. Restricting fluids (A) is not appropriate as fluid resuscitation may be required for burn victims. Placing a cooling blanket (C) could potentially worsen the burns by causing hypothermia. Giving oral pain medication (D) is important but not the priority in this situation where airway management is critical.

Correct Answer: C

Rationale: The correct answer is C: Inform the charge nurse and document occurrence. This is the first action because it is essential to report any work-related injuries promptly for documentation and potential follow-up care. Continuing to work (A) could worsen the injury. Going to the emergency department (B) may not be necessary if the injury is not severe. Seeing a private health-care provider on off time (D) may delay necessary documentation and follow-up within the workplace.

Correct Answer: D

Rationale: The correct answer is D: Provide nighttime lights in the room. This intervention is important in preventing complications secondary to osteoporosis as it helps reduce the risk of falls and fractures during nighttime bathroom visits. Darkness can increase the risk of falls, especially in elderly individuals with osteoporosis. Keeping the room well-lit at night can improve visibility and safety, reducing the chances of accidents. A: Keeping the bed in a high position does not directly address the risk of falls related to osteoporosis. B: Passive range-of-motion exercises focus on mobility and muscle strength but do not directly address fall prevention. C: Turning the client every two hours is important for preventing pressure ulcers but does not specifically target osteoporosis-related complications.

Correct Answer: A

Rationale: The correct answer is A: Keep the fractured arm at heart level. This positioning helps reduce swelling and promote circulation, aiding in the healing process. Keeping the arm elevated can also help alleviate pain and discomfort. Choice B is incorrect because using a wire hanger to scratch inside the cast can lead to injury and complications. Choice C is incorrect because applying an ice pack to an itching area can cause skin damage and should be avoided. Choice D is incorrect because foul smells are not expected occurrences with cast care; any foul odor should be reported to the healthcare provider as it may indicate an infection.