Hurst 10 Review Practice Test.

Hurst 10 Review Practice Test. What discharge teaching should the nurse include to the parent of an adolescent who has a mild concussion? 1. Concussion symptoms may last anywhere from hours and days to weeks and months. 2. Return to the emergency department for worsening headache. 3. Monitor for increased intracranial pressure. 4. Avoid physical activities until released from care. 5. Awaken the client every two hours. - CORRECT ANSWER 1., 2., 4., & 5. Correct. This injury will result in symptoms that may last anywhere from hours and days to potentially weeks and months. Contact the primary healthcare provider or the Emergency Department if the client has repeated vomiting, severe or worsening headache, severe or worsening dizziness, or any worsening symptom that alarms client or family. Avoid physical activities (sports, gym, and exercise) and reduce cognitive demands (reading, texting, computer use, video games, etc). The brain is responsible for managing physical and cognitive functions of the body; therefore, it is important to decrease any activity that increases symptoms. Awaken every two hours to check level of consciousness. 3. Incorrect. A lay person would not know the signs/symptoms of increased ICP. Which clients should the nurse recommend receive the human papillomavirus (HPV) vaccine? 1. Twelve year old male. 2. Nine year old female. 3. Twenty-five year old bisexual male. 4. Twenty-two year old female with compromised immune system. 5. Twenty-six year old male who has not received the HPV vaccine. - CORRECT ANSWER 1., 3, & 4. Correct: The HPV vaccine is recommended for preteen boys and girls at age 11 or 12 so they are protected before ever being exposed to the virus. Young women can get HPV vaccine through age 26, and young men can get vaccinated through age 21. The HPV vaccine is recommended for any man who has sex with men through age 26 and for men with compromised immune systems through age 26 if they did not get HPV vaccine when they were younger. The HPV vaccine is recommended for men and women with compromised immune systems through age 26. 2. Incorrect: The HPV vaccine is recommended for preteen boys and girls at age 11 or 12 so they are protected before ever being exposed to the virus. Young women can get HPV vaccine through age 26, and young men can get vaccinated through age 21. 5. Incorrect: Catch up vaccines are recommended for males through age 21 and for females through age 26 if they did not get vaccinated when they were younger. A 3-year-old child refuses to take a prescribed medication. Which statements by the mother, regarding the child's refusal, indicate to the nurse that parental education is needed? 1. "My child is trying to make me angry". 2. "I feel like such a bad mother when my child acts this way". 3. "I promise my child a reward for taking medicine". 4. "I am unfazed by my child's actions". 5. "My child doesn't have to take medicine if he doesn't want to". - CORRECT ANSWER 1., 2. & 5. Correct: If the mother feels the child is trying to "make her angry" she may respond with inappropriate discipline. The nurse can help the mother understand that developing independence is one of the developmental tasks of a child this age, and that the movement toward independence reflects good, not bad, parenting. The child must take the prescribed medicine in order to get well. 3. Incorrect: Rewarding the client for taking medication is not contraindicated.4. Incorrect: Being "unfazed" by the child's actions does not reflect bad parenting.