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

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Question 1 See full question 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 See full question 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 See full question 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:
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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 See full question 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
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