Adolescent

A 15-year-old with acute lymphocytic leukemia has been caught hiding her oral chemotherapy each morning. Which nursing intervention will improve compliance? Have the child meet teenage survivors of cancer who were compliant with treatment. Notify the physician to talk to the teenager and the family about compliance. Give written and internet resources of information about the disease process and implications of noncompliance. Discuss the noncompliance with the parents, child, and physician, setting limits and taking away privileges until the child complies.

Have the child meet teenage survivors of cancer who were compliant with treatment.

The nurse assesses a 17-year-old client with depression for suicide risk. Which question is most appropriate to use? "What movies about death have you watched lately?" "Can you tell me what you think about suicide?" "Has anyone in your family ever committed suicide?" "Are you thinking about killing yourself?"

"Are you thinking about killing yourself?"

A nurse is caring for an adolescent after surgery. Which post-operative teaching statement is best to use for the adolescent? "Do everything just as instructed to avoid problems with your parents." "The instructions that I give you will help you get back to your regular activities quickly." "Just believe me that you need to do each thing exactly as I instruct you." "It is important that you follow these instructions to prevent future complications."

"The instructions that I give you will help you get back to your regular activities quickly."

A member of a nurse-led group for depressed adolescents tells the group that they are not coming back because they are taking medication and no longer need to talk about their problems. Which response by the nurse is most appropriate? "I'm glad that you're taking your medication, but how can we know that you will continue to take it? After all, you haven't been on it for very long, and you might decide to stop taking it." "I think that it's important to let everyone respond to what you said, so let's go around the group and let everyone give their thoughts about what you've decided." "The purpose of the group is to provide each of you with a place to discuss the problems of being a teenager with depression with others who also are experiencing a similar situation." "You don't have to stay in the group if you don't want to, but if you choose to leave, then you won't be able to change yo

"The purpose of the group is to provide each of you with a place to discuss the problems of being a teenager with depression with others who also are experiencing a similar situation."

The nurse is caring for an adolescent client after an overdose on barbiturate drugs and alcohol. The client is hypotensive with a mean arterial pressure below 30 mm Hg and a urine output of 5 mL/hr. Serum creatinine and potassium are elevated. The parents of the client ask why there is so little urine in the indwelling catheter drainage bag. What is the best response by the nurse? "Oliguria is common after a barbiturate overdose." "The body is conserving fluids to dilute the barbiturates." "There is not enough blood circulating to the kidneys." "Dialysis is needed to clear the toxins from the blood."

"There is not enough blood circulating to the kidneys."

Which client's care should the nurse delegate to unlicensed assistive personnel? Select all that apply. 3-month-old infant with dehydration who will be discharged tomorrow 10-month-old infant with bronchiolitis who was admitted last night 5-year-old child with a fractured humerus going to surgery this morning 11-year-old child in sickle cell crisis admitted 3 hours ago 16-year-old adolescent with mononucleosis and a temperature of 103.8°F (39.9°C) 17-year-old adolescent who underwent an appendectomy last night and now has stable vital signs

3-month-old infant with dehydration who will be discharged tomorrow 17-year-old adolescent who underwent an appendectomy last night and now has stable vital signs

The nurse is caring for an adolescent who has been admitted several times with uncontrolled type 1 diabetes. The child is now stabilized and is preparing for discharge. What should be the priority focus for the nurse when conducting discharge teaching? relocating closer to the hospital coping with a chronic disease risk for injury and readmission management of the therapeutic regimen

management of the therapeutic regimen

An adolescent is admitted for treatment of bulimia nervosa. When developing the care plan, the nurse anticipates including interventions that address which metabolic disorder? hypoglycemia metabolic alkalosis metabolic acidosis hyperkalemia

metabolic alkalosis

Which substance should the nurse include in the teaching plan for a teenager with acne who has requested information about cleansing the affected skin? witch hazel mild soap and water hydrogen peroxide antibacterial soap

mild soap and water

An adolescent is at risk for injury related to intracranial pathology following a motor vehicle collision. Which nursing action is the priority? monitor oxygenation and temperature monitor intracranial pressure maintain the head in a neutral position maintain normoglycemia and normotension

monitor intracranial pressure

The nurse is caring for an adolescent with cancer who is well informed about the medical condition and treatment. The adolescent refused the morning medications and states intentions of refusing all future medications. What is the best action by the nurse? Persuade the adolescent to take the medication as ordered. Ensure that the adolescent understands the rationale for taking the medication. Ask the adolescent's parents to encourage the adolescent to take the medication. Document the adolescent's choice and offer to discuss feelings about the medication.

Document the adolescent's choice and offer to discuss feelings about the medication.

An adolescent presents with a large round ring with a swollen border on the left arm. The adolescent often plays ball games in a field behind the school. What condition does the nurse suspect? Lyme disease actinic keratosis impetigo cellulitis

Lyme disease

A nurse is assessing a severely depressed adolescent. Which finding indicates the highest risk of suicide? altered speech excessive sleepiness refusal to interact with others a preoccupation with death

a preoccupation with death

A nurse is assessing the growth and development of a 14-year-old boy. The client reports that their 13-year-old sister is 2 inches (5 cm) taller than them. What information should the nurse provide about growth spurts in adolescent boys compared with growth spurts in adolescent girls? They occur: at about the same time. about 2 years earlier. about 2 years later. about 1 year earlier.

about 2 years later.

An adolescent with insulin-dependent diabetes is being taught the importance of rotating the sites of insulin injections. The nurse should judge that the teaching was successful when the adolescent identifies which complication that can result from using the same site? destruction of the fat tissue and poor absorption damage to nerves and painful neuritis thickening of the subcutis and too-rapid insulin uptake development of resistance to insulin and need for increased amounts

destruction of the fat tissue and poor absorption

The nurse is instructing a client with cancer who is receiving chemotherapy about reporting signs of infection. Which is the most reliable early indicator of infection in a client who is neutropenic? fever chills tachycardia dyspnea

fever

An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance of consuming dietary iron, the nurse asks the client to select iron-rich breakfast items from a sample menu. Which selection demonstrates knowledge of dietary iron sources? grapefruit and white toast pancakes and a banana ham and eggs bagel and cream cheese

ham and eggs

The nurse assesses an adolescent's musculoskeletal system. According to the figure, the nurse should note that the adolescent has which condition? kyphosis lordosis spondylolisthesis scoliosis

scoliosis

When developing the postoperative plan of care for an adolescent who has undergone an appendectomy for a ruptured appendix, the nurse should expect to place the client in which position during the early postoperative period? semi-Fowler supine lithotomy prone

semi-Fowler

When assessing a 13-year-old adolescent, what is an expected finding? Tanner stage I of development decision about a career primarily one friend subjective judgments of right and wrong

subjective judgments of right and wrong

An adolescent with a history of surgical repair for an undescended testis comes to the clinic for a sports physical. Which anticipatory guidance for the parents and adolescent is most important? the adolescent's sterility the adolescent's future plans technique for monthly testicular self-examinations need for a lot of psychological support

technique for monthly testicular self-examinations

The nurse admits an adolescent client to the pediatric unit following an appendectomy. After obtaining the vital signs and pain ratings, what should be the priority assessment for the nurse to make? the dressings on the surgical sites intravenous fluid infusion site nasogastric (NG) tube function bowel sounds

the dressings on the surgical sites

An overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet strategies. The client reaches a weight loss plateau and is discouraged. The nurse instructs the client to keep a food diary for what purpose? to help the client stay busy and more focused on losing weight to help the client analyze how much food is consumed and when to help the nurse determine whether the diet is being followed to provide a written record of caloric intake for the nurse

to help the client analyze how much food is consumed and when

An adolescent is receiving chemotherapy for lymphoma. Which statement by the adolescent supports a nursing diagnosis of Deficient knowledge related to mouth care? "I use a soft toothbrush to clean my teeth." "I remove white patches from my tongue and cheeks with my toothbrush." "I rinse my mouth every 2 to 4 hours with a solution of baking soda and water." "I don't use commercial mouthwashes."

"I remove white patches from my tongue and cheeks with my toothbrush."

An adolescent client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and their parent, the parent reports that they have to remind the client to take the antidepressant every day. The client says, "Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because my parent always bugs me about taking it." Which response would be effective for the nurse to make to the client? "It's a good thing your parent takes care of you by reminding you to take your meds." "It seems there are some difficulties with being responsible for your medications that we need to address." "You'll never be able to handle taking your medication at college next year if you are so dependent on your parent." "I'm surprised your parent allows you to be so irresponsible."

"It seems there are some difficulties with being responsible for your medications that we need to address."

A nurse is caring for a 14-year-old adolescent who states, "No one understands me." Which statement by the nurse best demonstrates empathy? "Explain why you think no one understands you. How can adults help?" "Tell me about a time you felt your parents were understanding." "Let's talk about your future plans and which courses you enjoy." "It's difficult to be a teenager. Tell me more about your experiences."

"It's difficult to be a teenager. Tell me more about your experiences."

The school nurse is counseling a female client who is concerned about an incident that occurred at a school dance. The young client describes becoming drowsy and disoriented after drinking punch and waking up hours later in the back of a stranger's car. What is the most appropriate advice for the nurse to give the adolescent? "Be careful not to exhaust yourself when you go to dances in the future." "The punch may have contained alcohol, which you should be aware of next time." "You need to tell your friends to take you home if you become disoriented." "It's possible that you were raped and will need information on pregnancy testing."

"It's possible that you were raped and will need information on pregnancy testing."

An adolescent client is sent to the school clinic with dizziness and nausea. While assessing the student, who denies any health problems, the nurse smells alcohol on their breath. Which response by the nurse is most appropriate? "Your breath tells me that you have been drinking alcohol this morning!" "What is the real reason that you are feeling sick this morning?" "Tell me everything that you have had to eat and drink yesterday and today." "I know that high school is stressful, but drinking alcohol is not the best way to handle it."

"Tell me everything that you have had to eat and drink yesterday and today."

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 probably should not consider having children until your seizures are cured." "Your children will not necessarily have an increased risk for a seizure disorder." "When you decide to have children, talk to the health care provider (HCP) about changing your medication." "Women who have seizure disorders commonly have a difficult time conceiving."

"When you decide to have children, talk to the health care provider (HCP) about changing your medication."

A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with their daily before-breakfast weigh-in. The client states that they just drank a glass of water, which they feel will unfairly increase their weight. What is the nurse's best response to the client? "You're here to gain weight, so that will work in your favor." "Don't drink or eat for 2 hours, and then I'll weigh you." "You must weigh in every day at this time. Please step on the scale." "If you don't get on the scale, I'll be forced to call your health care provider."

"You must weigh in every day at this time. Please step on the scale."

The nurses discusses the onset of pubescence with parents. The nurse should explain that pubescence occurs at what time? same age for both boys and girls 1 to 2 years earlier in boys than in girls 1 to 2 years earlier in girls than in boys 3 to 4 years later in boys than in girls

1 to 2 years earlier in girls than in boys

The nurse is caring for an adolescent client who sustained a head injury in a motor vehicle crash. The client begins to experience extreme thirst and excretes 4 L of urine in a 24-hour period with a specific gravity of 1.002. What pharmacological intervention does the nurse anticipate performing? Administration of desmopressin. Administration of recombinant human growth hormone. Administration of demeclocycline. Administration of levothyroxine.

Administration of desmopressin.

A nurse is caring for a 14-year-old client who was admitted with cellulitis and has been ordered warm compresses. The nurse delegates the treatment to the unlicensed assistive personnel (UAP). The compress causes a first-degree burn to the area. Which actions should the nurse initiate? Select all that apply. Initiate a disciplinary action toward the UAP. Complete an incident report regarding the event. Notify the healthcare provider of the injury. Place ice compresses on the injured area. Document the injury describing the UAP's actions.

Complete an incident report regarding the event. Notify the healthcare provider of the injury.

The nurse is caring for a 15-year-old client with myelogenous leukemia whose platelet count is 26,000/mcL. Which nursing interventions would be included in the plan of care? Select all that apply. Instruct the client not to use a razor for shaving. Plan to infuse packed red blood cells. Encourage the client to eat foods high in iron. Assess the client for pain in joints. Encourage jogging to increase endurance.

Instruct the client not to use a razor for shaving. Assess the client for pain in joints.

A nurse, who witnesses an adolescent being thrown from a motorcycle, stops to help. The adolescent reports that they are unable to move their legs. While waiting for the emergency medical service to arrive, what should the nurse do? Flex the adolescent's knees to relieve stress on their back. Leave the adolescent as they are, staying close by. Remove the adolescent's helmet as soon as possible. Assess the adolescent for abdominal trauma.

Leave the adolescent as they are, staying close by.

An adolescent client is admitted with a diagnosis of rheumatic fever and is on bed rest. The client has a sore throat. Their joints are painful and swollen. They have a red rash on their trunk and are experiencing aimless movements of their extremities. Use the chart below to determine what the nurse should do first. Report the heart rate to the health care provider (HCP). Apply lotion to the rash. Splint the joints to relieve the pain. Request a prescription to treat the elevated temperature.

Report the heart rate to the health care provider (HCP).

An adolescent tells the nurse that they would like to use tampons during their period. What should the nurse do first? Assess the client's usual menstrual flow pattern. Determine whether the client is sexually active. Provide information about preventing toxic shock syndrome. Refer the client to a specialist in adolescent gynecology.

Provide information about preventing toxic shock syndrome.

An adolescent presents to a community clinic for treatment of vulvar lesions associated with Type 2 herpes simplex. Which action does the nurse take? Call the adolescent's parents for permission to assess and treat. Show the adolescent to a private examination room for further assessment. Inform the adolescent that parents will be informed by the insurance company. Ask the adolescent if the parents know that their child is seeking treatment for a condition.

Show the adolescent to a private examination room for further assessment.

An adolescent is brought to the emergency department (ED) after accidentally taking an overdose of heroin. The adolescent is semiconscious, unable to respond appropriately to questions, slurs words, and has constricted pupils; the client's vital signs are blood pressure 60/50 mm Hg, pulse 50 bpm, and respirations 8 breaths/min. Naloxone is administered to temporarily reverse the effects of the heroin. Which finding would first indicate that the naloxone administration has been effective? The client's blood opiate level drops to a nontoxic level. The client becomes talkative and physically active. The client's memory and attention become normal. The client's respirations improve to 12 breaths/min.

The client's respirations improve to 12 breaths/min.

Acetaminophen was given to an adolescent for headache. Which of the following parameters would indicate the effectiveness of the medication? intermittent sleeping change in behavior no change in behavior no change in vital signs

change in behavior

A nurse is preparing a health promotion program for teenagers focusing on lifestyle choices. Which of the following methods used by the nurse will best ensure the success of the program? creating a safe environment for sharing information reviewing data about common teenage lifestyle choices disclosing and explaining personal lifestyle choices validating the current lifestyle choices of the teenagers

creating a safe environment for sharing information

A school-age client with leukemia is receiving cyclophosphamide. The nurse should assess the client for which adverse effect of cyclophosphamide? photosensitivity ataxia cystitis cardiac arrhythmias

cystitis

The nurse cares for an adolescent after an appendectomy. Which client action would the nurse judge to be a healthy coping behavior? insisting on wearing a T-shirt and gym shorts rather than pajamas avoiding interactions with other adolescents on the nursing unit refusing to fill out the menu and allowing the nurse to do so not taking telephone calls from friends so they can rest

insisting on wearing a T-shirt and gym shorts rather than pajamas

The nurse develops the plan of care for a 14-year-old client who is bored due to being immobilized in a cast. Which activity is most appropriate? playing a card game with a client the same age putting together a puzzle with the client's parent playing video games with a 9-year-old watching a movie with the client's younger sibling

playing a card game with a client the same age

The nurse is teaching an adolescent with celiac disease about dietary changes that will help maintain a healthy lifestyle. Which of the following foods can the nurse safely recommend as part of the adolescent's diet? Select all that apply. potatoes apples bagels corn pizza

potatoes apples corn

An adolescent, age 14, is hospitalized for nutritional management and drug therapy after experiencing an acute episode of ulcerative colitis. Which nursing intervention is appropriate? administering digestive enzymes before meals as ordered providing small, frequent meals administering antibiotics with meals as ordered providing high-fiber snacks

providing small, frequent meals

A 13-year-old girl is being evaluated for possible Crohn's disease. She is about to undergo a colonoscopy with biopsy. While teaching about the diagnosis, the nurse is asked whether the client's delayed puberty is a result of the disease process. Which is the nurse's best response? "Yes, Crohn's disease often causes delayed puberty." "She is too young to be diagnosed with delayed puberty." "No definitive diagnosis has been made yet; it's best to wait until testing is complete." "You'll have to ask the doctor."

"No definitive diagnosis has been made yet; it's best to wait until testing is complete."

The parents of an adolescent client newly diagnosed with anorexia nervosa are meeting with the nurse during the admission process. Which remark should the nurse interpret as typical for parents of a client with anorexia nervosa? "We've given them everything, and look how they repay us!" "Our child has had behavior problems for the past year both at home and at school." "They've been a model child. We've never had any problems with them." "We have five children, all normal kids with some problems at times."

"They've been a model child. We've never had any problems with them."

A nurse is providing health teaching to a group of adolescent girls. The focus is on urinary tract infections. One of the girls tells the nurse that she wants to know more about cystitis. Which statement by the nurse is the most appropriate response? "This condition can result from irritation and inflammation from sexual activity." "This is a serious condition that occurs after intercourse or vaginal cleanses." "This condition happens frequently in young women and is not harmful." "This is a minor bacterial infection of the bladder that can occur at anytime."

"This condition can result from irritation and inflammation from sexual activity."

A 17-year-old client confides in the school nurse an interest in understanding safe sex practices. In instructing the client on how to correctly use a condom, which information would be stressed? Select all that apply. A condom only needs to be placed on the penis immediately before ejaculation. Condoms should be stored in a cool, dry place to prevent damage. Leave a 1/2-inch space at the tip of the condom. Never reuse a condom. The condom should be applied on an erect penis.

Condoms should be stored in a cool, dry place to prevent damage. Leave a 1/2-inch space at the tip of the condom. Never reuse a condom. The condom should be applied on an erect penis.

An adolescent female arrives in the emergency department after a physical assault. How could the male nurse best protect the client's rights during the physical examination? Leave the door open. Have a female health care worker present. Keep the suspected attacker away from the examination room. Keep the client's friends (who are waiting in the lounge area) informed of her medical condition.

Have a female health care worker present.

An adolescent is a heavy user of marijuana and alcohol. When the nurse confronts the client about their drug and alcohol use, they admit previous heavy use in order to feel more comfortable around peers and achieve social acceptance. They acknowledge trying to stay clean since their parents found out and had them seek treatment. When the nurse develops a plan of care with the client, what should be the highest priority to help them maintain sobriety? peer recognition that does not involve substance use support and guidance from parents a strict no-drug policy at their high school the threat of legal charges if caught drinking or smoking marijuana

peer recognition that does not involve substance use

The nurse screens adolescent clients for high-risk health behaviors. Which client would the nurse determine needs further evaluation? young adolescent girl whose mood changes when upset with their parents, though she has never been in trouble in school or the community young adolescent boy who coughs for 5 minutes after trying his first marijuana cigarette and declares he does not want to do it again young adolescent boy who restricts his food and fluid intake to be able to compete as a boxer in a lower weight class young adolescent girl who reads "dark" novels and questions why God allows innocent people to be harmed

young adolescent boy who restricts his food and fluid intake to be able to compete as a boxer in a lower weight class

Which statement by an adolescent receiving gentamicin should the nurse interpret as indicating drug toxicity? "I'm feeling dizzy." "I have no appetite." "I urinate a lot now." "I haven't moved my bowels in 3 days."

"I'm feeling dizzy."

The parents of a pregnant adolescent are outraged that they are being refused medical information about their daughter's condition. What is the best response by the nurse to address their anger? "Your daughter's medical information is confidential." "Your daughter is not ready to share her health information." "If we obtain permission from her, we can include you in our discussions." "I understand your concerns, but she is responsible for her own health."

"If we obtain permission from her, we can include you in our discussions."

The nurse assesses an adolescent client with lethargy, retractions of the intercostal spaces, a persistent expiratory wheeze, diminished breath sounds, tachycardia, and tachypnea. Arterial blood gas results are pH 7.10; PCO2 80 mm Hg (10.64 kPa); PO2 35 mm Hg (4.66 kPa), HCO3 29 mEq/l (29 mmol/l). What is the priority condition the nurse must address? respiratory acidosis change in mental status increased heart rate breathing pattern

respiratory acidosis

A nurse is caring for an adolescent who is in the hospital for a long-term illness. Which of the following interventions would promote the development of the hospitalized adolescent? Provide the teen structure in daily activities Encourage the family to have fun game night activities once a week Arrange for a tutor to cover missed schoolwork Connect the teen to their peer group as much as possible

Connect the teen to their peer group as much as possible

The nurse discovers that an adolescent client with anorexia nervosa is taking diet pills rather than complying with the diet. What should the nurse do first? Explain to the client how diet pills can jeopardize health. Listen to the client discuss fears of losing control of eating while being treated. Talk with the client about how weight loss worries the health care provider (HCP). Talk with the client about how other family members are very concerned about their health.

Listen to the client discuss fears of losing control of eating while being treated.

A 16-year-old client is admitted to the emergency department following an accident. The client sustained a head injury, is unconscious, and has compound fractures of the right tibia and fibula. No family members accompanied the client and none can be reached by phone. The surgeon instructs the nurse to take the client to the operating room immediately. Which of the following actions should the nurse take regarding informed consent? Call the nursing supervisor and ask that the hospital lawyer be contacted. Keep the client in the emergency department until the family is contacted. Take the client to the operating room for surgery without informed consent. Contact the hospital chaplain to sign the consent on the client's behalf.

Take the client to the operating room for surgery without informed consent.

Physical examination of an adolescent reveals an abnormally convex angulation in the curvature of the thoracic spine. How should the nurse document this finding? dowager's hump kyphosis lordosis scoliosis

kyphosis

A nurse is reviewing discharge instructions with the parents of an adolescent who sustained a head injury to the frontal lobe of the brain. When discussing possible consequences of the injury, which of the following is the most important information to give the parents? "Your child may exhibit drastic personality changes." "Your child may develop sudden problems with vision." "Your child will gradually lose the ability to hear." "Your child may mention unusual numbness and tingling."

"Your child may exhibit drastic personality changes."

The nurse is caring for a 15-year-old adolescent mother after birth. The adolescent lives at home with her parents and has a boyfriend who is also 15 years old. Neither is currently working, and they both have plans for higher education. When addressing the psychosocial issues that may occur after the birth of the child, which of the following would be the most important for the nurse to include in client teaching? increased stress for new mothers inability to achieve educational goals dependence on parents after birth potential rejection by the boyfriend

increased stress for new mothers

A school nurse is planning a program for parents on "Drugs Commonly Abused by Teenagers." Which information should be included about inhalants? Select all that apply. Monitor for paper bags and rags that may have been used for breathing inhalants. Brain damage is unlikely with the use of inhalants. Use of inhalants by teens is on the decline. Deaths from inhalants occur from asphyxiation, suffocation, and aspiration of vomit. Inhalants usually cause depression of the central nervous system. The basic groups of inhalants are hydrocarbon solvents such as glue, aerosol propellants from spray cans, and anesthetics and gases.

Monitor for paper bags and rags that may have been used for breathing inhalants. Deaths from inhalants occur from asphyxiation, suffocation, and aspiration of vomit. Inhalants usually cause depression of the central nervous system. The basic groups of inhalants are hydrocarbon solvents such as glue, aerosol propellants from spray cans, and anesthetics and gases.

A nurse is caring for a 16-year-old male client who needs an appendectomy. His parents are not present at the hospital. Prior to the surgery, the nurse needs to ensure that informed consent is obtained. Which situations allows the healthcare provider to obtain an informed consent from an adolescent? The adolescent is the appropriate age to sign an informed consent. The adolescent has declared himself emancipated. The adolescent has a power-of-attorney document. The adolescent is under the protection of a court guardian.

The adolescent has declared himself emancipated.

A shy 12-year-old child who must change school systems just before beginning junior high school begins cutting their arms to relieve the stress felt about leaving long-standing friends, having to develop new friendships, and meeting high academic standards in a new school. After the client has been cutting for a few weeks, a parent discovers the injuries and takes the child to a mental health provider who prescribes a therapeutic group at the local mental health center and medication to help decrease anxiety. Which finding(s) would indicate the child had made appropriate progress toward recovery? Select all that apply. The girl indicates that they have joined three clubs at school and agreed to be an officer in one of them. The child says they have developed a friendship with a student in her class and one in their therapy group. The child wears short-sleeved or sleeveless tops when the weather is warm. The girl's gr

The child says they have developed a friendship with a student in her class and one in their therapy group. The child wears short-sleeved or sleeveless tops when the weather is warm. The girl's grades are good, and hours of study are not excessive.

The nurse evaluates the care of an adolescent with a recent spinal cord injury. Which finding should lead the nurse to determine that spinal shock was resolving? atonic urinary bladder flaccid paralysis hyperactive reflexes widened pulse pressure

hyperactive reflexes

A 14-year-old client in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. When planning care, the nurse should take into account the client's need to achieve what developmental milestone? autonomy initiative industry identity

identity

The parent of a 16-year-old adolescent calls the emergency department, suspecting the adolescent's abdominal pain may be appendicitis. In addition to pain, the adolescent has a temperature of 100°F (37.7°C) and has vomited twice. What should the nurse tell the parent? "Give your child a laxative to rule out the possibility that constipation is causing the pain." "Gently press on the lower left quadrant of your child's abdomen to test for rebound tenderness." "It's most likely the flu because your child is too young to have appendicitis." "Bring your child into the emergency department immediately before the appendix has a chance to rupture."

"Bring your child into the emergency department immediately before the appendix has a chance to rupture."

An adolescent with pneumonia shares fears of having contracted human immunodeficiency virus (HIV). The adolescent wants to be tested but does not want parental involvement. What should the nurse say? "Tell me why you think you may have contracted HIV." "You'll have to talk with the hospital's nurse ethicist." "The healthcare provider will run the test confidentially." "You're very young to have HIV."

"The healthcare provider will run the test confidentially."

A nurse teaches an adolescent client with asthma to independently administer breathing treatments. Which principle should the nurse keep in mind when planning the teaching session? Adolescents tend to be uncooperative with instructions from adults. Adolescents are worried about appearing different from their peers. The client will learn better using a recorded video tutorial. The client will need supervision for the first self-administrations.

Adolescents are worried about appearing different from their peers.

A 14-year-old brought to the emergency department with right lower quadrant pain is tentatively diagnosed with acute appendicitis. The nurse should further assess the client for which sign or symptom? costovertebral angle tenderness widening pulse pressure low-grade fever gross hematuria

low-grade fever