Exam (elaborations)
NURS 360 HESI Adolescents level 2 (A's)
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NURS360 HESI Adolescents level 2 (A's)
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A woman visits a primary healthcare provider and reports chills,severe abdominal pain, and increased vaginal discharge. Which
infection does the nurse suspect the woman to have?
Answer: 4. Pelvic inflammatory disease
A young adolescent couple asks a community health nurse about
using condoms as a method of contraception. Arrange the steps
of using a condom in sequential order.
Answer: 1. Open the package to remove the
condom and check for breaks or holes, 2.
Contraceptive jelly is squeezed onto the tip of
the condom, 3. Condom is unrolled on the
erected penis, 4. Leave 0.5 inch of space at the
tip of the condom, 5. Hold the rim of the
condom in place when withdrawing, 6. Throw
the condom away.
A young adolescent who reports abdominal bloating, pelvic
fullness, edema of the lower extremities, and breast tenderness is
diagnosed as premenstrual syndrome. What is the primary
responsibility of the nurse?
Answer: 1. Client education
,According to Erikson's theory, which behaviors will a nurse
notice in 13-year-old students? Select all that apply.
Answers: 1. Such students want to know "Who
am I?", 5. Such students show a marked
preoccupation with body appearance.
According to Tanner stages, which figure indicates the pubertal
stage in males?
Answer: 3
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?
Answer: 2. narcotics
, After an assessment, a nurse observes a feeling of an altered
perception of body appearance in an adolescent. Which nursing
interventions would be beneficial in this situation? Select all that
apply.
Answer: 3. Providing a therapeutic discussion
of personal attributes perceived as positive. 4.
Encouraging a discussion of maladaptive
behaviors surrounding food and fluid intake. 5.
Involving the adolescent in activities designed
to promote a positive image of self-worth and
accomplishment
After an assessment, a nurse suspects that an adolescent has
anorexia nervosa. Which characteristics may have been
observed in the adolescent? Select all that apply.
Answer: 1. Denying illness, 4. Dismissing food,
5. Maintaining rigid body control
After an assessment, an adolescent is diagnosed with a perceived
inability to ingest food. Which nursing interventions would be
appropriate for identifying hyponatremia? Select all that apply.
Answer: 1. Monitor vital signs, 2. Monitor fluid
and electrolyte status
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