Unit 9- Pediatric Nursing; Adolescent questions with correct answers
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Course
RN- Nursing
Institution
RN- Nursing
An adolescent female arrives in the emergency department after a physical assault. How could the male nurse best protect the client's rights during the physical examination? Correct Answer-Have a female health care worker present.
A female health care provider should be present to observe an exa...
Unit 9- Pediatric Nursing; Adolescent questions with
correct answers
An adolescent female arrives in the emergency department after a
physical assault. How could the male nurse best protect the client's rights
during the physical examination? Correct Answer-Have a female health
care worker present.
A female health care provider should be present to observe an
examination performed by a male health care provider. Leaving the door
open and informing the client's friends about her condition violates her
right to privacy and confidentiality. Although the suspected attacker
should be kept away from the examination room, having a female health
care worker present during the examination best protects the girl's rights.
An adolescent presents with a large round ring with a swollen border on
the left arm. The adolescent often plays ball games in a field behind the
school. What condition does the nurse suspect? Correct Answer-Lyme
disease
Lyme disease, which results from a tick bite, is characterized by a large
round ring with a raised swollen border at the site of the bite. Treatment
at this stage can prevent systemic involvement that could lead to cardiac,
neurologic, and musculoskeletal symptoms. Impetigo is a clustering of
vesicles that ooze and form a crust on the skin. Cellulitis is caused by a
microoganism entering through broken skin, resulting in red, painful,
swollen skin that is hot and tender. Actinic keratosis appears on sun-
exposed surfaces like the arms and neck and causes thick, scaly, and
discolored skin that is sometimes red or pink.
,A member of a nurse-led group for depressed adolescents tells the group
that she is not coming back because she is taking medication and no
longer needs to talk about her problems. Which response by the nurse is
most appropriate? Correct Answer-"The purpose of the group is to
provide each of you with a place to discuss the problems of being a
teenager with depression with others who also are experiencing a similar
situation."
Focusing on the purpose of the group is the best response. Adolescents
are greatly influenced by their peers. Medication alone is not typically
the most successful treatment strategy. Questioning whether the client
will continue the medication is negative and is not the reason for her to
stay in the group. Asking the rest of the group to respond may or may
not give the nurse support for the teenager remaining in the group.
Groups commonly have rules regarding movement of members in and
out of the group, but this does not address the reasons for the client to
remain in the group.
During assessment of an adolescent who has sustained a recent thoracic
spinal injury, the nurse auscultates the adolescent's abdomen. The nurse
explains to the parents that this is necessary because clients with spinal
cord injury often develop which problem? Correct Answer-paralytic
ileus
A thoracic spinal cord injury involves the muscles of the lower
extremities, bladder, and rectum. Paralytic ileus often occurs as a result
of decreased gastrointestinal muscle innervation. The nurse evaluates
this by auscultating the abdomen. Because the client has a thoracic
,spinal cord injury, the client may not feel abdominal cramping.
Additionally, auscultation would provide no evidence of cramping.
Hyperactive bowel sounds would be evidenced with increased
peristalsis; peristalsis would probably be diminished with this injury.
Profuse diarrhea, resulting from increased peristalsis, would not be an
expected finding. Diarrhea would be more commonly associated with a
gastrointestinal infection.
The parents of teenagers express concerns about the types and large
quantities of food their children eat and their refusal to eat foods served
at family meals. Which suggestion would be most helpful for the
parents? Correct Answer-Incorporate the adolescents' preferences into
meal planning.
Preventing food intake from becoming the center of an independence-
dependence struggle is important. Nursing responsibilities include
helping parents realize that adolescents require a high caloric intake and
they need to make individual decisions. Adolescents are subject to peer
pressure that commonly supersedes family pressure for a healthy
diet.The parents have already evaluated their adolescents' diet, as
evidenced by their concerns.Although the adolescents should be
informed about the adverse effects of fad diets, doing so does not ensure
the adolescents' adequate nutritional intake.Responsibility for grocery
shopping for a month may encourage independence but does not ensure
adequate nutritional status.
An adolescent who is immobilized in a cast to stabilize a recent
fractured femur suddenly develops chest pain, dyspnea, diaphoresis, and
tachycardia. The nurse should further assess the client for what
condition? Correct Answer-pulmonary emboli
, Chest pain and dyspnea in an immobilized adolescent with a large bone
fracture suggest a fat embolus. With this condition, fat droplets, rather
than a thrombus, are transferred from the marrow into the general blood
stream by the venous-arterial route, possibly reaching the lung or brain.
Atelectasis may develop; however, the onset of signs and symptoms is
usually more gradual and subtler.
Pneumonia can occur; however, the signs and symptoms usually do not
develop suddenly.
Pulmonary edema should not be a problem in a healthy adolescent who
has sustained a fracture.
A nurse is reviewing discharge instructions with the parents of an
adolescent who sustained a head injury to the frontal lobe of the brain.
When discussing possible consequences of the injury, which of the
following is the most important information to give the parents?An
overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet
strategies. The client reaches a weight loss plateau and is discouraged.
The nurse instructs the client to keep a food diary for what purpose?
Correct Answer-"Your child may exhibit drastic personality changes."
The frontal lobe regulates personality and judgment. The occipital lobe
regulates vision, the temporal lobe regulates hearing, and the parietal
lobe regulates sensation.
An adolescent client is admitted with a diagnosis of rheumatic fever and
is on bed rest. He has a sore throat. His joints are painful and swollen.
He has a red rash on his trunk and is experiencing aimless movements of
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