Chapter 16: Health Problems of School-Age Children and Adolescents
The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate?
a. "Your child may experience a sense of nervousness."
A nurse is recommending strategies to a group of school-age children for prevention of obesity. Which should the nurse include? (Select all that apply.)
a. Eat breakfast daily. c. Have frequent family meals with parents present. e. Limit television viewing to 2 hours a day.
Which side effects should the nurse monitor when a child is taking an antipsychotic medication? (Select all that apply.) a. Extrapyramidal effects d. Dizziness e. Seizures
a. Extrapyramidal effects d. Dizziness e. Seizures
Which is the most commonly used method in completed suicides?
a. Firearms
Which statement is correct about childhood obesity?
a. Heredity is an important factor in the development of obesity.
A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which intervention?
a. Immediately return the child to school.
The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?
a. Mode of administration
A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive?
a. Requires injections every 3 months
Which statement is true about smoking in adolescence?
a. Smoking is related to other high-risk behaviors.
Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?
a. Social isolation
When is isotretinoin (Accutane) indicated for the treatment of acne during adolescence?
a. The acne has not responded to other treatments.
A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of this should be based on which statement?
a. This is usually benign and temporary.
An adolescent girl tells the nurse that she is very suicidal. The nurse asks her whether she has a specific plan. Asking this should be considered:
a. an appropriate part of the assessment.
An adolescent has been diagnosed with lactose maldigestion intolerance. The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?
b. "I should drink the milk alone and not with other foods."
Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)
b. Accompany verbal instructions by written format. d. Allow more time for testing. e. Reduce homework and classroom assignments.
An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?
b. Azithromycin (Zithromax) PO
A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?
b. Gay and lesbian adolescents are at a particularly high risk for suicide.
A teen asks a nurse, "What is physical dependence in substance abuse?" Which is the correct response by the nurse?
b. Involuntary physiologic response to drug
Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
b. Manifestations affect every aspect of the child's life but are most obvious in the classroom.
What is a psychological effect of being obese during adolescence?
b. Poor body image
What is smokeless tobacco?
b. Proven to be carcinogenic
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?
b. Refer for prenatal care
Which is descriptive of central nervous system stimulants?
b. They can result in strong
A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?
c. Antispasmodic
Parents have a concern that their child is depressed. The nurse relates that which characteristic best describes children with depression?
c. Change in appetite, resulting in weight loss or gain
A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?
c. Child's self-esteem and sense of competence
Which statement regarding chlamydia infection is correct?
c. Clinical manifestations include dysuria and urethral itching in males.
How are young people with anorexia nervosa often described?
c. Conforming
Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?
c. Organic causes that may be related to enuresis should be considered first.
A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?
c. PID can have devastating effects on the reproductive tract.
Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:
c. explaining that medication should not be applied until at least 20 to 30 minutes after washing.
An adolescent teen has bulimia. Which assessment finding should the nurse expect to assess?
d. Erosion of tooth enamel
Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
d. Lowered body temperature and brittle nails
An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse's response should be based on which statement?
d. NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.
An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain to the girl?
d. Postcoital contraception is available to prevent implantation
The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family?
d. Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.
What is the best description of anorexia nervosa?
d. Results in severe weight loss in the absence of obvious physical causes
An adolescent asks the nurse what causes primary dysmenorrhea. The nurse's response should be based on which statement?
d. There is a relation between prostaglandins and uterine contractility.
What usually triggers the weight loss of anorexia nervosa?
d. Traumatic interpersonal conflict
Which statement is true about gonorrhea?
d. Treatment of all sexual contacts is an essential part of treatment.
Which is descriptive of bulimia during adolescence?
d. Weight that can be normal, slightly above normal, or below normal
