Adolescents EAQ

Which action would the school nurse take to help a 15-year-old who thinks she may be pregnant? a. providing nonjudgemental support b. contacting the adolescents parents c. asking if she has notified her partner d. arranging for her to do a pregnancy test

CORRECT ANSWER a. providing nonjudgemental support RATIONALE: the responsibility of the school nurse is to provide nonjudgemental support to the adolescent b. contacting the adolescents parents RATIONALE: most schools do not have policies in place for parental notification of pregnancies, so the nurse would not contact the parents. c. asking if she has notified her partner RATIONALE: Asking if the student if she has notified her partner is obtaining information but not providing help d. arranging for her to do a pregnancy test RATIONALE: The nurse would instruct the adolescent to see a HCP to obtain blood testing for pregnancy

A 16-year-old single mother and her mother bring a 1-month-old infant to the emergency department after an accidental fall down the stairs. Which person has the responsibility for signing the consent form for treatment? a. the mother despite her age b. no one because this is an emergency c. the infants grandmother because she is a relative d. Family-court appointee because the mother is a minor

CORRECT ANSWER a. the mother despite her age RATIONALE: Despite being a mother, the mother of the infant must sign the consent form because she is the parent and legal guardian. b. no one because this is an emergency RATIONALE: Consent is always needed when a parent is present and capable of providing it, even in the case of an emergency. c. the infants grandmother because she is a relative RATIONALE: The grandmother does not have the legal right to give consent. d. Family-court appointee because the mother is a minor RATIONALE: A family-court appointee is unnecessary.

A nurse is assessing an adolescent after the administration of epinephrine. Which side effects is important for the nurse to identify? a. tachycardia b. hypoglycemia c. constricted pupils d. decreased blood pressure

CORRECT ANSWER: A. tachycardia RATIONALE: Epinephrine is a sympathetic nervous system stimulant that causes tachycardia b. hypoglycemia RATIONALE: Hyperglycemia, not hypoglycemia, may result c. constricted pupils RATIONALE: The pupils will be dilated, not constricted d. decreased blood pressure RATIONALE: Epinephrine is more likely to cause hypertension than hypotension

After 3 months of supplemental oral iron therapy, there is no significant increase in a female adolescent's hemoglobin level. Iron dextran is prescribed. Which technique will the nurse use to administer this medication? a. A transdermal needle b. Massaging the injection site c. Use of the Z-track method d. Administering a local anesthetic first

a. A transdermal needle RATIONALE: The length of a transdermal needle is too short to reach a muscle a 1-in needle is required. b. Massaging the injection site RATIONALE: Massage will force iron dextran into the subcutaneous tissue, causing irritation and staining CORRECT ANSWER c. c. Use of the Z-track method RATIONALE: The Z-track injection method prevents seepage of iron dextran through the needle track, thereby limiting irritation of subcutaneous tissue and staining of the skin. d. Administering a local anesthetic first RATIONALE: Although an injection may be uncomfortable, a local anesthetic is unnecessary.

Which information would the nurse provide first to the parents of a 16-year-old who asks how to address sexual activity with their adolescent? a. Set early curfews b. Provide pamphlets c. Be open and honest d. Refer the parents to the pediatrician

a. Setting early curfews may cause rebellion and fighting b. The nurse could provide pamphlets, but the nurse would first address questions. d. The nurse need not refer the parents to the pediatrician as the nurse can handle this situation

An 18-year- old high school student arrives at the local blood drive center to donate blood for the first time. As the site is being prepared for needle insertion, the student becomes agitated, started to hyperventilate, and complains of dizziness and tingling of the hands. Which instruction would be given by the nurse? a. breathe into cupped hands b. pant, using rapid, shallow breaths c. use a rapid, deep-breathing pattern d.hold the breath for as long as possible

a. breathe into cupped hands RATIONALE: breathing into cupped hands allows CO2 to reenter the lungs, which will increase the serum bicarbonate level, relieving the respiratory alkalosis that is occurring as a result of hyperentilation. b. pant, using rapid, shallow breaths RATIONALE: this will exacerbate the respiratory alkalosis because excess CO2 will continue to be expelled with rapid breathing, lowering the serum bicarbonate level. c. use a rapid, deep-breathing pattern RATIONALE: this will also exacerbate the respiratory alkalosis d.hold the breath for as long as possible RATIONALE: a person experiencing a panic attack will not be able to hold their breath

Which social behavior would the nurse expect from a 15-year-old female client hospitalized as a result of asthma? a. chooses to be alone b. prefers to be in groups c. desires to dress uniquely d. is able to control emotions

a. chooses to be alone RATIONALE: adolescents between 14 and 16 years of age are very self-centered and prefer to hang out in groups. CORRECT ANSWER b. prefers to be in groups RATIONALE: c. desires to dress uniquely RATIONALE: d. is able to control emotions RATIONALE: emotional control does not occur until later adolescence

A nurse is caring for a 15-year-old client who is undergoing chemotherapy for leukemia. Which concern is common in adolescents with health problems and that is anticipated by the nurse? a. missing time at school b. limiting social activities c. being dependent while enjoying the sick role d. feeling different regarding changes in body image

a. missing time at school RATIONALE: This may be a concern but it's not primary concern b. limiting social activities RATIONALE: This may be a concern but it's not primary concern c. being dependent while enjoying the sick role RATIONALE: A 15-year old enjoys and strives for independence and does not enjoy the sick role CORRECT ANSWER d. feeling different regarding changes in body image RATIONALE: the 15-year-old is preoccupied with appearance. The side effects of the antineoplastics and prednisone may result in the adolescent feeling different, which affects body image.

Which factor may cause an adolescent to develop a smoking addiction? Select all that apply a. peer pressure b. academic success c. involvement in sports d. imitating adult behavior of smoking e. imitating lifestyles portrayed in movies and advertisements

a. peer pressure d. imitating adult behavior of smoking e. imitating lifestyles portrayed in movies and advertisements