Evolve : Adolescents

Evolve : Adolescents A nurse is caring for an adolescent in the postanesthesia care unit. What action should the nurse take to ensure accuracy of a pulse oximeter reading? Placing the probe on a finger or earlobe A nurse is conducting a health class for adolescents. What modifiable risk factor, most closely associated with the development of coronary heart disease (CHD) in both men and women, should the nurse discuss? Cigarette smoking What is a primary factor influencing the onset of puberty in adolescents? Genetics A 17-year-old mother is to sign the consent for her son's myringotomy. What should the nurse say to the mother about this procedure? "Tell me what you know about this procedure." A nurse is caring for a 15-year-old client who is undergoing chemotherapy for leukemia. The nurse expects that adolescents with health problems are most concerned about: Feeling different regarding changes in body image The nurse is teaching a class about nutrition to a group of adolescents. Taking into consideration the prevalence of overweight teenagers, what is the best recommendation the nurse can make? Decrease fast food intake. The mother of an adolescent asks the nurse, "What's the best way to remove a tick from the skin?" What is the best response by the nurse? "Remove the tick carefully with tweezers." A 16-year-old single mother of a 1-month-old infant and the infant's grandmother bring the baby to the emergency department and report that the infant accidentally fell down the stairs. The nurse knows that a consent form for treatment should be signed. Who has the responsibility for signing the consent? The mother, despite her age An adolescent is undergoing radiation for Hodgkin's lymphoma. The nurse talks with the family about the importance of: Overwhelming fatigue and the need for rest An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How should the nurse respond when the client complains of pain and requests medication? By acknowledging that the pain is real and administering medication to relieve it When teaching an adolescent with type 1 diabetes about dietary management, what instruction should the nurse include? A ready source of glucose should be available. An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. What should the nurse tell the girl that may help her wear the bracelet consistently? Select a bracelet similar to bracelets worn by her peers What behavior does a nurse expect when caring for a 15-year-old adolescent who is undergoing chemotherapy? Exhibiting concern about being different A 17-year-old child was recently found to have type 2 diabetes mellitus. What information will the nurse include when providing education to the family? "The most important interventions are good nutrition and portion control." Which condition is more common in adolescent girls than boys? Anorexia nervosa The nurse is caring for an adolescent with hemophilia. Which statement by the client indicates a need for further teaching? "I'll use a straight razor when I start shaving." A nurse is discussing insulin needs with an adolescent with recently diagnosed type 1 diabetes. What information is important for the nurse to include concerning insulin administration? Insulin will be required throughout life. An adolescent who was admitted to the hospital with ketoacidosis is stable and receiving Novolin R subcutaneously. One hour after its administration the nurse enters the room and notes that the adolescent is diaphoretic and irritable. What is the nurse's priority intervention? Obtaining a blood glucose reading A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief concern is a thick, burning vaginal discharge accompanied by low abdominal pain. After her examination, the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents will discover that she is sexually active. She asks the nurse whether her parents will be contacted. The nurse explains that her parents will: Not be contacted, because treatment at the clinic is confidential An adolescent who has just been found to have type 1 diabetes asks a nurse about exercise. What is the best response by the nurse? "Extra snacks are needed before exercise." The nurse is helping an adolescent with iron-deficiency anemia make breakfast meal choices. Which foods should the nurse suggest? Bowl of raisin bran After 3 months of supplemental oral iron therapy, there is no significant increase in a female adolescent's hemoglobin level. Iron dextran (Imferon) is ordered. What is the best way for the nurse to administer this medication? With the use of the Z-track method A 16-year-old male asks the nurse about the use of condoms. He states, "I've used condoms in the past, but I'm not sure I'm using them correctly." What should be included as part of the teaching about condoms? The condom must be positioned after an erection has occurred. The clinic nurse is teaching an adolescent about lifestyle modifications to prevent hyperlipidemia. Which statement by the adolescent indicates a need for further teaching? "I'll start eating more red meat." A 13-year-old adolescent is found to have idiopathic scoliosis. Because exercise and avoidance of fatigue are essential components of care, which sport should the nurse suggest as the most therapeutic for this preadolescent? Swimming A nurse is caring for a 15-year-old adolescent who was admitted to the hospital after taking an acetaminophen (Tylenol) overdose. The result of which diagnostic study is most important for the nurse to monitor at this time? Liver function tests 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, starts to hyperventilate, and complains of dizziness and tingling of the hands. What should the nurse instruct the student to do? Breathe into cupped hands A nurse instructs the parents of an adolescent with asthma how to reduce the allergens in the child's bedroom. The mother tells the nurse what she plans to do to make the room hypoallergenic. Which idea indicates that further teaching is needed? Using flat outdoor carpeting to cover hardwood floors After her child's visit to the pediatrician a mother tells the nurse that she is concerned that an antidepressant has been prescribed for her adolescent son. What is the best response by the nurse? "Tell me more about what's bothering you." Which topic would be most appropriate for health education for adolescents? Safe sexual practices After orthopedic surgery a 15-year-old adolescent reports pain and rates it a 5 on a scale of 0 to 10. A nurse administers the prescribed 5 mg of oxycodone every 3 hours as needed. Two hours after having been given this medication, the adolescent reports pain and rates it a 10 of 10. What action should the nurse take next? Request that the health care provider evaluate the need for additional medication A 13-year-old girl is found to have idiopathic scoliosis. She is upset about the treatment regimen and is worried about being different from her friends. What should the nurse do to help the child maintain a positive self-image during treatment? Help her investigate appropriate clothing to enhance her appearance 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 applicators to wipe my teeth and gums." Loratadine (Claritin), 10 mg by mouth once a day in the morning, is prescribed for a 15-year-old girl with hay fever. The girl tells the school nurse that she is concerned that she will be sleepy for a quiz the next day. How should the nurse respond? By explaining that this medication rarely causes drowsiness