Adolescent 1.docx - Question 1 See full question An...

Question 1
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An adolescent presents to a community clinic for treatment of vulvar lesions associated
with Type 2 herpes simplex. The nurse should:
You Selected:

show the adolescent to a private examination room.
Correct response:

show the adolescent to a private examination room.
Explanation:
The nurse should take the client to an examination room to provide privacy. Federal law
states that adolescents may obtain treatment for sexually transmitted diseases without
parental notification. This adolescent is guaranteed the same confidentiality as older
clients. It isn't appropriate for the nurse to ask the adolescent if her parents know she's
promiscuous; doing so could undermine the therapeutic relationship.
Question 2
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An adolescent girl with a seizure disorder controlled with phenytoin and carbamazepine
asks the nurse about getting married and having children. Which response by the nurse
would be most appropriate?
You Selected:

"When you decide to have children, talk to the health care provider about
changing your medication."
Correct response:

"When you decide to have children, talk to the health care provider about
changing your medication."
Explanation:
Phenytoin sodium is a known teratogenic agent, causing numerous fetal problems.
Therefore, the adolescent should be advised to talk to the HCP to see if changing the
medication is possible. Additionally, anticonvulsant requirements usually increase during
pregnancy. Seizures can be controlled but cannot be cured. There is a familial tendency
for seizure disorders. Seizure disorders and infertility are not related.
Question 3
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An adolescent with abdominal pain and a fever is being seen in the clinic. In what order
should the nurse assess the abdomen? All options must be used.
You Selected:


Inspect

Auscultate

Percuss
 Palpate
Correct response:

Inspect

Auscultate

Percuss

Palpate
Explanation:
The nurse should first inspect the abdomen for abnormalities. Auscultation should be
done before percussion and palpation as vigorous touching may disturb the intestines.
Percussion is next. Palpation is the last step as it is most likely to cause pain.
Question 4
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Which adolescent would the nurse determine needs further evaluation?
You Selected:

a young adolescent boy who restricts his food and fluid intake to be able to box
in a lower weight class
Correct response:

a young adolescent boy who restricts his food and fluid intake to be able to box
in a lower weight class
Explanation:
Restricting intake to lose weight is a first step toward an eating disorder for males as
well as females, so this behavior should be investigated further, especially since males
of this age are usually unconcerned about their weight. Quick mood changes are
common in young adolescents, particularly girls. Such mood changes should not be
considered problematic if the adolescent is not experiencing trouble in major areas of
his/her life. Experimenting with alcohol or other substances is fairly common in the teen