NURS 1102 ADOLESCENTS EAQ questions & answers

NURS 1102 ADOLESCENTS EAQ An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How should the nurse respond when the client complains of pain and requests medication? By withholding the medication to help prevent addiction By stating that the limb has been removed and that the pain is psychological By acknowledging that the pain is real and administering medication to relieve it By explaining that the phantom limb sensation will subside within a few more days What is the average optimal blood pressure of an adolescent? 85/54 mm Hg 95/65 mm Hg 105/65 mm Hg 110/65 mm Hg An adolescent displaying low self-esteem complains of inflamed, red, and painful lesions on his forehead. What condition does he have? Varicoceles Acne vulgaris Open comedones Closed comedones Which Korotkoff sound represents the diastolic blood pressure in an adolescent? First Third Fifth Fourth What is the maximum recommended length for enema tube insertion in an adolescent? Record your answer using a whole number. When teaching an adolescent with type 1 diabetes about dietary management, what instruction should the nurse include? Meals should be eaten at home. Foods should be weighed on a gram scale. A ready source of glucose should be available. Specific foods should be cooked for the adolescent Which statements regarding acne are correct? Select all that apply. Acne is a hormonal disease. Acne may be caused by stress. Family history could be a reason for it. Propionibacterium acnes causes acne. Acne is commonly found on the face, chest, lower back, and neck A teenager is being discharged with a cast. What should the nurse recommend if the client experiences pruritus around the cast edges? "Scratch the itchy area gently." "Put an ice pack on the affected area." "Sprinkle a layer of powder around the itchy spots." "Ask your doctor for a prescription for an antihistamine." A 17-year-old adolescent was recently found to have type 2 diabetes mellitus. What information will the nurse include when providing education to the family? "Your teen will need insulin injections for the rest of her life." "The most important interventions are good nutrition and portion control." "This is a condition where the body produces antibodies against its own cells." "This condition causes weight loss and increased appetite, thirst, and urination." An adolescent visits the allergy clinic because of seasonal environmental allergies, and blood is drawn for testing. Which laboratory finding indicates to the nurse that an allergic response is in progress? Decreased platelet count Increased eosinophil level Increased lymphocyte count Decreased immunoglobulin level 90 What over-the-counter drugs are used to treat vulvovaginal candidiases? Select all that apply. Tinidazole Miconazole Clotrimazole Azithromycin Metronidazole What is the maximum heart rate of a 16 year old? Record your answer using a whole number. An adolescent girl is concerned about her body image after amputation of a leg for bone cancer. After the nurse has obtained the girl’s consent, what nursing action is mosttherapeutic? Encouraging her peers to visit Keeping her lower body covered Placing her in a room by herself Limiting her visitors to the family A 13-year-old is found to have idiopathic scoliosis. She is upset about the treatment regimen and is worried about being different from her friends. What should the nurse do to help the child maintain a positive self-image during treatment? Remind her how crooked her back will be if she refuses treatment. Help her investigate appropriate clothing to enhance her appearance. Disregard her negative characteristics and focus on her positive attributes. Refer her for psychological counseling until the treatment program is completed. An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. What should the nurse tell the girl that may help her wear the bracelet consistently? Hide the bracelet under long-sleeved clothes. Wear the bracelet when engaging in contact sports. Ask her friends to wear bracelets that look like hers. Select a bracelet similar to bracelets worn by her peers. After a teaching session a nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder. What is the next nursing action? Setting goals with the client Developing a rapport with the client Teaching the client how to give insulin injections Instructing the client how to monitor blood glucose What characteristics are commonly associated with adolescent depression? Select all that apply. Exercising daily Having suicidal ideation Exhibiting tearfulness Having poor muscle tone Avoiding previously enjoyed activities and relationships A nurse is caring for a 13-year-old child who has an external fixation device on the leg. What is the nurse’s priority goal when providing pin care? Easing pain Minimizing scarring Preventing infection Preventing skin breakdown What is the minimum heart rate of a 14 year old? Record your answer using a whole number. 60 A 15-year-old with type 1 diabetes has a history of noncompliance with the therapy regimen. What must the nurse consider about the teenager’s developmental stage before starting a counseling program? They usually deny their illness. They have a need for attention. The struggle for identity is typical. Regression is associated with illness. A nurse instructs the parents of an adolescent with asthma how to reduce the allergens in the child’s bedroom. The mother tells the nurse what she plans to do to make the room hypoallergenic. Which idea indicates that further teaching is needed? Removing a stuffed animal collection Storing off-season clothing in another room Covering the mattress with a plastic slipcover Using flat outdoor carpeting to cover hardwood floors An adolescent tries dangerous stunts on a bike without fearing that this activity could result in life-threatening injury. Which characteristic does this signify? Animism Personal fable Imaginary audience Sense of invulnerability What is the most common cause of death among adolescents? Suicide Homicide Accidents Substance abuse What is the most common cause of ophthalmia neonatorum in infants born to adolescent mothers? Chlamydia Gonorrhea Human papilloma virus Herpes simplex