Let's keep asking about questions you don't understand. Make sure you are looking at the Rationale and References for questions you got wrong. Don't be afraid to discuss them. That is how we all learn.
Now this question has garnered a lot of discussions. The first thing I would recommend if you get an answer wrong is to look at the rationale and the reference for the question. See if you can see why you might have gotten it incorrect,
So while this might not be the best question or at least many don't agree with it (34% got it correct - 66% got it incorrect (48% said take vital signs) if we look at the reference and rationale A is the correct answer. This is probably the type of question that when it got to item reveiw might be edited or tossed.
A teacher questions why they might be experiencing visual issues and a funny feeling in their face. The nurse's first action would be to
A. Activate EMS
B. Obtain vital signs,
C. Advise he call his PCP,
D. Ask if he takes any medication.
Rationale: Activation of 911 is essential in order to get treatment started as fast as possible.
Reference: https://www.cdc.gov/stroke/signs_symptoms.htm
Numbness or weakness in one side of the face, Vision problems in one or both eyes.
What are the signs of stroke in men and women?
- Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body.
- Sudden confusion, trouble speaking, or difficulty understanding speech.
- Sudden trouble seeing in one or both eyes.
- Sudden trouble walking, dizziness, loss of balance, or lack of coordination.
- Sudden severe headache with no known cause.
Call 9-1-1 right away if you or someone else has any of these symptoms.
Original Message:
Sent: 05-25-2023 11:51
From: Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN
Subject: Practice Question
I would like to discuss this month's Challenge the School Nurse Question. For those of you who don't know NBCSN publishes a Challenge the School Nurse Question every month Sept.-June in School Nurse Digest and then it is published on our website, at the end of each year, we publish all 10 questions in our Challenge the School Nurse Archive.<o:p></o:p>
One of our officers questioned this month's answer so I think it would be a good exercise to discuss the question here.<o:p></o:p>
A teacher questions why they might be experiencing visual issues and a funny feeling in their face. The nurse's first action would be to *<o:p></o:p>
<o:p> </o:p>
A. Activate EMS,<o:p></o:p>
B. Obtain vital signs,<o:p></o:p>
C. Advise he call his PCP,<o:p></o:p>
D. Ask if he takes any medication.<o:p></o:p>
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Pat Krin, MSN, MSCP, RN, FNP-BC-Retired, NCSN-E, FNASN
Executive Director
NBCSN
nbcsnexec@nbcsn.orgwww.nbcsn.org------------------------------