The school nurse performs screenings on all students in the high ...

[evelyn o bentley]

The school nurse performs screenings on all students in the high school.In addition,the nurse will perform selected screenings on individual teenagers.
 
  When planning the screenings for the year,the nurse will include screening all teenagers for which of the following? (Select all that apply.)
  1. Scoliosis
  2. Height and weight
  3. Blood-pressure measurement
  4. Hepatitis B profile serology
  5. Chest x-ray

Question 2

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. The priority nursing action is to
 
  1. call the respective parents to discussthe eating patterns of each adolescent.
  2. speak with the girls in a group todiscuss the problems associated with anorexia nervosa.
  3. refer these adolescents to the schoolpsychologist.
  4. obtain a nutritional history for eachof these adolescents.

[bhavsar]

Answer to Question 1

Answer:1,2,3
Rationale:Routine screening for adolescents includes checking for scoliosis, height,and weight,and blood-pressure measurements. The hepatitis B profile is only needed once,prior to administration of hepatitis B vaccine;however,this is not a required screening for all adolescents. A chest x-ray is not a routine screening test for adolescents.

Answer to Question 2

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.