A school nurse suspects a 13-year-old has structural scoliosis. Requesting that the
adolescent perform which maneuver would be the nurse's priority when collecting data
for this condition? - ANWER The child is asked to bend over and touch the toes while the
nurse evaluates from behind.
The nurse is caring for a 15-year-old client who is admitted with suspected bacterial
pneumonia. Which nursing action is the priority? - ANWER Obtain sputum culture.
The nurse is teaching a group of adolescent clients about personal hygiene. Which
client statement indicates further teaching is needed? - ANSWER "It is not safe to swim
while menstruating."
Which scenario is a breach of confidentiality for an adolescent who has been admitted
to the hospital? - ANSWER Two nurses discussing the adolescent get on an elevator to
go to lunch.
The nurse has performed a vision examination on a teenage client. What term will the
nurse document that reflects the client's diagnosis of myopia, or nearsightedness? -
ANWER myopia
A 15-year-old girl visits the neighborhood clinic and requests information about "how to
keep from getting pregnant." What is the nurse's best initial response to the client's
request? - ANWER "Can you tell me about the precautions you're taking now?"
A teenage client with diabetes tells the community nurse that he recently started
drinking alcohol on weekends. Which is the most appropriate nursing action? - ANSWER
Teach the teen how alcohol affects diabetes.
A nurse is teaching a teenager with diabetes how to combine regular insulin and NPH
insulin in one syringe. Which of the following actions by the teenager would indicate that
, the teenager needs further instruction? ANSWER Drawing up the NPH insulin first
The nurse is teaching a health class at the local middle school about testicular
self-examination. Which of the following student statements would indicate the need for
further teaching? ANSWER "I won't need to do testicular self-exams until I am sexually
active."
A nurse is caring for a 17-year-old brought to the mental health facility by a family
member who is concerned about the client's recent 20-lb (9 kg) weight loss, and weight
loss total of 50 lb (22.7 kg) in the last year. What interventions are necessary in the
treatment of an adolescent diagnosed with an eating disorder? Select all that apply. -
ANSWER Provide a highly structured environment.
Weight, vitals, intake and output, caloric intake, and exercise of the client should be
monitored.
Assist client in the change of perception from negative to positive and help them to set
realistic goals.
The nurse is caring for an adolescent client who experienced a motor vehicle accident.
The client has been medicated with a chest tube. If, inadvertently, the chest tube is
removed, the immediate nursing action is to: - ANSWER cover the opening with sterile
petroleum gauze.
The parents of a teenaged girl have just been informed that their daughter has a
terminal illness. Initially, as they try to face this reality, they deny the situation. Later,
they behave in a way that indicates they may accept the diagnosis. Which of the
following behaviors would demonstrate acceptance? - ANSWER Verbalization of
feelings, such as sadness and anger, about the status of the child
A female adolescent client does not want male nurses to care for her during her
hospitalization. Which of the following health care rights is this adolescent exercising?
ANSWER right to privacy
An adolescent is admitted to the adolescent unit with pain related to sickle cell crisis.
Whom should the nurse consult first regarding this adolescent's care? ANSWER
pediatric pain specialist
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