adolescent

A nurse gives a teenager discharge instructions regarding cast care. The nurse concludes that the instructions have been understood when the teenager says:

"If I get itchy around the cast, I'll rub the itchy area gently."

A 15-year-old high school student with hay fever has been taking a prescribed long-acting antihistamine/decongestant every 8 hours for the past 2 days. The adolescent tells the nurse, "This medicine is making me sleepy. Can you change it to something else?" How should the nurse respond?

"The drowsiness usually goes away after several days."

A 16-year-old client with full-thickness burns of the entire right arm states, "I'll never be able to use my arm again. I'll be scarred forever." What is the best initial response by the nurse?

-minimizing scarring is the goal of entire staff

A teenager is being discharged with a cast. What should the nurse recommend if the client experiences pruritus around the cast edges?

-put ice pack in affected area

A broad-spectrum oral antibiotic is prescribed for an adolescent with a bacterial infection. The prescription reads, "Take three times a day." At which times should the nurse recommend that the medication be taken to maintain a therapeutic blood level?

6am,2pm,10pm

How can a nurse best accomplish therapeutic communication with an adolescent?

By establishing a relationship over time

The mother of a 17-year-old adolescent who is going to be a foreign exchange student asks the nurse why her child must have a tetanus toxoid immunization instead of the immune globulin. The nurse responds that the tetanus toxoid immunization provides:

Longer-lasting active immunity

A male adolescent with cystic fibrosis, whose parents are both carriers of the disease, asks the nurse, "When I have children, could they have cystic fibrosis like me?" What information should the nurse consider before responding?

Men with cystic fibrosis usually are sterile, although sexual function is not affected.

Immediately after being placed in the supine position, an adolescent child experiences shortness of breath and must sit up to breathe. What term should the nurse use to document this clinical phenomenon?

Orthopnea

A 15-year-old adolescent with type 1 diabetes arrives at the diabetic outpatient clinic with a parent. The adolescent sits back in the chair with arms folded, frowns, and displays a withdrawn attitude. The adolescent and parent argue in front of the nurse. What is the best approach for the nurse to use?

Speaking separately with each of them, encouraging them to recognize and vent their anger

At 7 am a nurse learns that an adolescent with diabetes had a 6:30 am fasting blood glucose level of 180 mg/dL. What is the priority nursing action at this time?

Telling the adolescent that the prescribed dose of rapid-acting insulin should be administered

A 16-year-old adolescent sustains an ankle injury while playing soccer. Crutches and no weight-bearing are prescribed by the practitioner. What must the nurse ensure when adjusting the crutches?

That they extend to 6 inches from the side of each foot

A nurse is planning to discuss the importance of following the prescribed course of treatment with a group of adolescent clients. What is the nurse's priority consideration regarding these clients?

They are involved more with the present than with the future.

An adolescent has been admitted with symptoms of fatigue, intermittent fever, weight loss, and arthralgia, and the diagnosis is systemic lupus erythematous. The nurse knows that the best intervention at this time is:

education about diet ,rest n excerise

A nurse teaches an adolescent undergoing chemotherapy for cancer about the need for special mouth care because of the potential for oral lesions. What statement indicates to the nurse that the instructions have been understood?

i can use foam tipped applicator to wipe my teeth n gums

Which complication of anaphylactic shock in the adolescent client is most important for the nurse to detect early?

laryengeal edema

Spinal fusion is performed in an adolescent with scoliosis. What postoperative nursing intervention is specifically related to surgery for scoliosis?

log rolling q 2 hrs

A nurse is teaching a young adolescent with type 2 diabetes about nutritional needs. Which statement demonstrates that the adolescent understands what was taught?

"It's OK for me to eat one slice of pizza at a party."

An adolescent is found to have type 1 diabetes. The nurse plans to teach the adolescent that dietary control and exercise can help regulate the disorder. What additional information should be included in the teaching plan? (Select all that apply.)

-insulin therapy -blood glucose monitoring -adherence to treatment regimen

A girl comes to the physician's office for her 14-year-old check-up. What is the most important anticipatory guidance that can be offered to the client?

-ways to prevent accidents

A practitioner recommends that an adolescent with the diagnosis of osteogenic sarcoma have the affected leg amputated and then be treated with chemotherapy. The parents are concerned about what to tell their child and ask the nurse for advice. The nurse suggests that they discuss the:

Amputation and provide information about chemotherapy

An adolescent is admitted to the unit with a tentative diagnosis of a bone tumor of the left femur. During the admission procedure the adolescent casually asks, "Do they ever have to cut off a leg if someone has bone cancer?" How should the nurse respond?

Correct1 "Sometimes it's necessary. What do you think about that treatment?"

A nurse is teaching a 15-year-old adolescent with newly diagnosed type 1 diabetes about self-care. The nurse and client agree that the primary long-term goal for this teenager is:

Correct1 Maintaining normoglycemia

A 16-year-old girl has been admitted to the pediatric eating disorders unit with a diagnosis of anorexia and is undergoing behavioral therapy. Unit privileges are based on weight gain and have been explained to the client. What is the most appropriate intervention for the nurse to use when taking the lunch tray to the client's room?

Correct1 Setting the tray down and say nothing

An adolescent child is in the terminal stage of cancer. The parents ask how they will know when death is imminent. The nurse discusses the physical manifestations with the parents. What are the signs and symptoms of approaching death? (Select all that apply.)

-weak pulse -difficulty swallowing -loss of bladder control

After an above-the-knee amputation for bone cancer, an adolescent boy is returned to his room. He is monitored closely because of the potential for hemorrhage from the residual limb. What should the nurse plan to keep at the bedside?

pressure dressing

A nurse teaches a 13-year-old child with hay fever that the prescribed phenylephrine (Neo-Synephrine) nasal spray must be used exactly as directed. What complication may occur if the nasal spray is used incorrectly?

-increased nasal congestion

An adolescent girl is concerned about her body image after amputation of a leg for bone cancer. After the nurse has obtained the girl's consent, what nursing action is most therapeutic?

-encouraging her peers to visit

A 14-year-old adolescent with diabetes has been self-administering insulin twice a day. This morning the parents found their child lethargic and confused. After the adolescent's admission to the emergency department, laboratory testing reveals a hemoglobin A1C level of 10% and a blood glucose level of 200 mg/dL. What does the nurse suspect as the most likely cause of this client's condition?

-uncontrolled blood glucose level

An adolescent who has sickle cell anemia is recovering from a painful episode. What does the nurse see as the priority issue for this adolescent?

Alteration in body image resulting from skeletal deformities

A nurse is reviewing the laboratory report of a 13-year-old child with type 1 diabetes. What test is considered the most accurate in the evaluation of the effectiveness of diet and insulin therapy over time?

Correct4 Glycosylated hemoglobin

An adolescent sustains a sports-related fracture of the femur, and open reduction and internal fixation with a rod insertion is performed. After the surgery, a nurse notes that the adolescent is very upset. In light of the client's developmental level, what does the nurse conclude is the most likely explanation for this distress?

The perception that the rod is a body intrusion

An adolescent visits the allergy clinic because of seasonal environmental allergies, and blood is drawn for testing. Which laboratory finding indicates to the nurse that an allergic response is in progress?

Increased eosinophil level