Adolescent Ch. 27 and 41

During a visit to the school nurse, an adolescent confides in recently having homosexual feelings. How should the nurse best respond to the adolescent?

"Would you like to talk about these feelings?"

A nurse is examining a 17-year-old adolescent in the emergency room who is being disruptive in the waiting area. On assessment, the nurse finds dilated pupils, and the teen is talking very fast. Which of the following drugs does the nurse suspect the teen may be abusing?

Amphetamines

A nurse is attending to a group of boys at a school. The nurse is required to document the sexual development in boys on a regular basis. The nurse would anticipate which clients having the highest incidence of nocturnal emissions?

Clients who are showing pubertal changes

The nurse is caring for a child with a second-degree (partial-thickness) burn. What assessment findings would the nurse expect to observe?

Edema with wet blistering skin

The adolescent with sickle cell disease has been discharged from the hospital and has a need to increase fluid intake daily. What method of instruction would be most effective for the nurse to help the adolescent be compliant with increasing fluid intake?

Establish a contract.

The school nurse is developing a school wellness program to promote healthy eating habits and regular physical activity. What is the most important element to emphasize to maximize compliance, healthy habits, and long-term change?

Include both parents and children in the wellness program.

A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has this rash on his face and chest that looks like sunburn but feels really rough." What would the nurse suspect?

Scarlet fever

The nurse is helping the parents and their underweight adolescent collaborate on planning a healthy menu. The nurse should be aware of which nutritional requirement of adolescents?

Teenagers have a need for increased calories, zinc, calcium, and iron for growth.

The nurse is developing a teaching session on common adolescent injuries. What considerations lead the nurse to pertinent topics? Select all that apply.

The adolescent's increased physical growth Common insufficient psychomotor coordination Psychosocial concerns affected by peer pressure Inexperience

The nurse is educating a parent about the treatment for a child's tinea cruris. What medication class would the nurse include in the teaching plan?

antifungal

According to Erikson, the adolescent develops his or her own sense of being an independent person with individual thoughts and goals. This stage is referred to as:

identity vs. role confusion.

In observing a group of young adolescents playing basketball, it is noted that many of the adolescents appear to be uncoordinated and drop the ball often. The most common reason this occurs is because:

large muscles grow before small muscles grow.

Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in middle-to-late adolescence?

nocturnal emissions