NSG 6430 Exam Questions with 100% Verified Answers

NSG 6430 Exam Questions with 100% Verified Answers (P. 34) At what point can HTN be diagnosed in adolescents? - If blood pressure is elevated, it should be rechecked on at least three separate visits before a diagnosis of hypertension is considered (Pg 40) Meningococcal Vaccine - an outbreak in 2006 highlights the importance of continued vigilance. Many of the involved individuals in this outbreak were college students, indicating the importance of this age group as susceptible individuals. Mumps vaccine has few side effects, and more than 90% of susceptible patients develop protective, long-lasting antibodies. Mumps vaccine is usually administered as MMR. Susceptible adolescents should receive a single dose of mumps vaccine alone or as MMR. 13. All adolescents should be screened annually for eating disorders and obesity by determining weight and stature, and by asking about body image and dieting patterns. 14. All adolescents should be asked annually about their use of tobacco products, including cigarettes and smokeless tobacco. - fyi Aberrant breast tissue prevelence - The prevalence is about 2% to 6% of females. The condition usually presents with a soft tissue mass along the primordial milk line. Aberrant Breast Tissue. - This is failure of regression of the primordial milk crest and includes (1) polythelia, or accessory nipple (the most common congenital breast anomaly), (2) polymastia, or the presence of accessory breast tissue along the milk line, and (3) supernumerary breast, or the presence of an accessory nipple and underlying breast tissue. ADOLESCENT BREAST DISORDERS PAGE 516 - leave off point Adolescent family HX - (1) age and health status of family members; (2) significant medical illnesses in the family, such as diabetes, cancer, heart disease, tuberculosis, hypertension, and stroke; (3) history of mental illness in the family, such as mood disorders, anxiety disorders, schizophrenia, and alcoholism; and (4) vocational status of parents. Adolescent physchosocial HX - 1. Home: Family configuration and family members, living arrangements, relationships among the adolescent and family members 2. Education/Employment: Academic or vocational success, future plans, and safety at school or in the workplace 3. Eating: Brief nutrition history, risk factor for obesity, concerns about weight or body image, disordered eating behaviors 4. Activities: Friendships with peers of the same and opposite sex, recreational activities, dating activity and relationships, sexual activity 5. Drugs: Personal use of tobacco, alcohol, illicit drugs, anabolic steroids; peer substance use; family substance use; driving while intoxicated 6. Sexuality: Sexual orientation, sexual activity, sexual abuse 7. Suicide (Mental Health): Feelings of sadness, loneliness, depression; pervasive boredom; inappropriately high levels of anxiety; suicidal thoughts 8. Safety: Risk of unintentional injury, risk from violence, fighting or weapon carrying, abuse Adolescent PMH - (1) childhood infections and illnesses; (2) prior hospitalizations and surgery; (3) significant injuries; (4) disabilities; (5) medications, including prescription medications, over-the-counter medications, complementary or alternative medications, vitamins, and nutritional supplements; (6) allergies; (7) immunization history; (8) developmental history, including prenatal, perinatal, and infancy history as well as history of problems with walking, talking, eating, learning, peer relations, and school functioning; and (9) mental health history, including a history of hospitalization, outpatient counseling, medications, school interventions, and other treatment. Adolescent ROS - 1. Vision: Trouble reading or watching television, vision correction 2. Hearing: Infections, trouble hearing, earaches 3. Dental: Prior care, pain, concerns (e.g., braces) 4. Head: Headaches, dizziness 5. Nose and throat: Frequent colds or sore throats, respiratory allergies 6. Skin: Acne, moles, rashes, warts 7. Cardiovascular: Exercise intolerance, shortness of breath, chest pain, palpitations, syncope, physical activity 8. Respiratory: Asthma, cough, smoking, exposure to tuberculosis 9. Gastrointestinal: Abdominal pain, reflux, diarrhea, vomiting, bleeding 10. Genitourinary: Dysuria, bed-wetting, frequency, bleeding 11. Musculoskeletal: Limb pain, joint pain, or swelling 12. Central nervous system (CNS): Seizures, syncope 13. Menstrual: Menarche, frequency of menses, duration, menorrhagia or metrorrhagia, pain 14. Sexual: Sexual activity, contraception, pregnancy, abortions, sexually transmitted diseases (STDs) or STD symptoms ADOLESCENT SEXUAL DEVELOPMENT in early adolescence - (1) initiation of puberty; (2) extreme body concern and curiosity;