Evolve : Adolescents
A nurse is caring for an adolescent in the postanesthesia care unit. What action
should the nurse take to ensure accuracy of a pulse oximeter reading?
Placing the probe on a finger or earlobe
A nurse is conducting a health class for adolescents. What modifiable risk factor,
most closely associated with the development of coronary heart disease (CHD) in
both men and women, should the nurse discuss?
Cigarette smoking
What is a primary factor influencing the onset of puberty in adolescents?
Genetics
A 17-year-old mother is to sign the consent for her son's myringotomy. What
should the nurse say to the mother about this procedure?
"Tell me what you know about this procedure."
A nurse is caring for a 15-year-old client who is undergoing chemotherapy for
leukemia. The nurse expects that adolescents with health problems are most
concerned about:
Feeling different regarding changes in body image
The nurse is teaching a class about nutrition to a group of adolescents. Taking
into consideration the prevalence of overweight teenagers, what is the best
recommendation the nurse can make?
Decrease fast food intake.
The mother of an adolescent asks the nurse, "What's the best way to remove a
tick from the skin?" What is the best response by the nurse?
"Remove the tick carefully with tweezers."
A 16-year-old single mother of a 1-month-old infant and the infant's grandmother
bring the baby to the emergency department and report that the infant
accidentally fell down the stairs. The nurse knows that a consent form for
treatment should be signed. Who has the responsibility for signing the consent?
The mother, despite her age
An adolescent is undergoing radiation for Hodgkin's lymphoma. The nurse talks
with the family about the importance of:
Overwhelming fatigue and the need for rest
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 acknowledging that the pain is real and administering medication to relieve it
When teaching an adolescent with type 1 diabetes about dietary management,
what instruction should the nurse include?
A ready source of glucose should be available.
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?
Select a bracelet similar to bracelets worn by her peers
What behavior does a nurse expect when caring for a 15-year-old adolescent who
is undergoing chemotherapy?
, Exhibiting concern about being different
A 17-year-old child was recently found to have type 2 diabetes mellitus. What
information will the nurse include when providing education to the family?
"The most important interventions are good nutrition and portion control."
Which condition is more common in adolescent girls than boys?
Anorexia nervosa
The nurse is caring for an adolescent with hemophilia. Which statement by the
client indicates a need for further teaching?
"I'll use a straight razor when I start shaving."
A nurse is discussing insulin needs with an adolescent with recently diagnosed
type 1 diabetes. What information is important for the nurse to include
concerning insulin administration?
Insulin will be required throughout life.
An adolescent who was admitted to the hospital with ketoacidosis is stable and
receiving Novolin R subcutaneously. One hour after its administration the nurse
enters the room and notes that the adolescent is diaphoretic and irritable. What is
the nurse's priority intervention?
Obtaining a blood glucose reading
A nurse in the family planning clinic reviews the health history of a sexually
active 16-year-old girl whose chief concern is a thick, burning vaginal discharge
accompanied by low abdominal pain. After her examination, the girl is informed
that she may have a sexually transmitted infection (STI) that requires treatment.
The adolescent is concerned that her parents will discover that she is sexually
active. She asks the nurse whether her parents will be contacted. The nurse
explains that her parents will:
Not be contacted, because treatment at the clinic is confidential
An adolescent who has just been found to have type 1 diabetes asks a nurse
about exercise. What is the best response by the nurse?
"Extra snacks are needed before exercise."
The nurse is helping an adolescent with iron-deficiency anemia make breakfast
meal choices. Which foods should the nurse suggest?
Bowl of raisin bran
After 3 months of supplemental oral iron therapy, there is no significant increase
in a female adolescent's hemoglobin level. Iron dextran (Imferon) is ordered. What
is the best way for the nurse to administer this medication?
With the use of the Z-track method
A 16-year-old male asks the nurse about the use of condoms. He states, "I've
used condoms in the past, but I'm not sure I'm using them correctly." What
should be included as part of the teaching about condoms?
The condom must be positioned after an erection has occurred.
The clinic nurse is teaching an adolescent about lifestyle modifications to prevent
hyperlipidemia. Which statement by the adolescent indicates a need for further
teaching?
"I'll start eating more red meat."
A nurse is caring for an adolescent in the postanesthesia care unit. What action
should the nurse take to ensure accuracy of a pulse oximeter reading?
Placing the probe on a finger or earlobe
A nurse is conducting a health class for adolescents. What modifiable risk factor,
most closely associated with the development of coronary heart disease (CHD) in
both men and women, should the nurse discuss?
Cigarette smoking
What is a primary factor influencing the onset of puberty in adolescents?
Genetics
A 17-year-old mother is to sign the consent for her son's myringotomy. What
should the nurse say to the mother about this procedure?
"Tell me what you know about this procedure."
A nurse is caring for a 15-year-old client who is undergoing chemotherapy for
leukemia. The nurse expects that adolescents with health problems are most
concerned about:
Feeling different regarding changes in body image
The nurse is teaching a class about nutrition to a group of adolescents. Taking
into consideration the prevalence of overweight teenagers, what is the best
recommendation the nurse can make?
Decrease fast food intake.
The mother of an adolescent asks the nurse, "What's the best way to remove a
tick from the skin?" What is the best response by the nurse?
"Remove the tick carefully with tweezers."
A 16-year-old single mother of a 1-month-old infant and the infant's grandmother
bring the baby to the emergency department and report that the infant
accidentally fell down the stairs. The nurse knows that a consent form for
treatment should be signed. Who has the responsibility for signing the consent?
The mother, despite her age
An adolescent is undergoing radiation for Hodgkin's lymphoma. The nurse talks
with the family about the importance of:
Overwhelming fatigue and the need for rest
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 acknowledging that the pain is real and administering medication to relieve it
When teaching an adolescent with type 1 diabetes about dietary management,
what instruction should the nurse include?
A ready source of glucose should be available.
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?
Select a bracelet similar to bracelets worn by her peers
What behavior does a nurse expect when caring for a 15-year-old adolescent who
is undergoing chemotherapy?
, Exhibiting concern about being different
A 17-year-old child was recently found to have type 2 diabetes mellitus. What
information will the nurse include when providing education to the family?
"The most important interventions are good nutrition and portion control."
Which condition is more common in adolescent girls than boys?
Anorexia nervosa
The nurse is caring for an adolescent with hemophilia. Which statement by the
client indicates a need for further teaching?
"I'll use a straight razor when I start shaving."
A nurse is discussing insulin needs with an adolescent with recently diagnosed
type 1 diabetes. What information is important for the nurse to include
concerning insulin administration?
Insulin will be required throughout life.
An adolescent who was admitted to the hospital with ketoacidosis is stable and
receiving Novolin R subcutaneously. One hour after its administration the nurse
enters the room and notes that the adolescent is diaphoretic and irritable. What is
the nurse's priority intervention?
Obtaining a blood glucose reading
A nurse in the family planning clinic reviews the health history of a sexually
active 16-year-old girl whose chief concern is a thick, burning vaginal discharge
accompanied by low abdominal pain. After her examination, the girl is informed
that she may have a sexually transmitted infection (STI) that requires treatment.
The adolescent is concerned that her parents will discover that she is sexually
active. She asks the nurse whether her parents will be contacted. The nurse
explains that her parents will:
Not be contacted, because treatment at the clinic is confidential
An adolescent who has just been found to have type 1 diabetes asks a nurse
about exercise. What is the best response by the nurse?
"Extra snacks are needed before exercise."
The nurse is helping an adolescent with iron-deficiency anemia make breakfast
meal choices. Which foods should the nurse suggest?
Bowl of raisin bran
After 3 months of supplemental oral iron therapy, there is no significant increase
in a female adolescent's hemoglobin level. Iron dextran (Imferon) is ordered. What
is the best way for the nurse to administer this medication?
With the use of the Z-track method
A 16-year-old male asks the nurse about the use of condoms. He states, "I've
used condoms in the past, but I'm not sure I'm using them correctly." What
should be included as part of the teaching about condoms?
The condom must be positioned after an erection has occurred.
The clinic nurse is teaching an adolescent about lifestyle modifications to prevent
hyperlipidemia. Which statement by the adolescent indicates a need for further
teaching?
"I'll start eating more red meat."
