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An adolescent with a history of surgical repair for an undescended testis comes to the clinic for a sports physical. Anticipatory guidance for the parents and adolescent should focus on which of the following as most important?
- A. The adolescent's sterility.
- B. The adolescent's future plans.
- C. Technique for monthly testicular self-examinations.
- D. Need for a lot of psychological support.
Correct Answer: C
Rationale: Monthly self-exams help detect issues early.
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An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When initially discussing the diagnosis and treatment with the parents, which of the following would be most appropriate?
- A. Assessing the adequacy of their coping skills.
- B. Reassuring them that their child will be fine.
- C. Encouraging them to ask questions.
- D. Giving them printed material on the procedure.
Correct Answer: C
Rationale: Encouraging questions promotes understanding and engagement with the treatment plan.
While caring for a neonate with an imperforate anus, the nurse assesses the neonate's urine output for which of the following?
- A. Meconium.
- B. Blood.
- C. Bile.
- D. Acetone.
Correct Answer: A
Rationale: Meconium in the urine may indicate a rectourinary fistula, a common complication of imperforate anus.
An adolescent tells the school nurse that she would like to use tampons during her period. The nurse should first:
- A. Assess her usual menstrual flow pattern.
- B. Determine whether she is sexually active.
- C. Provide information about preventing toxic shock syndrome.
- D. Refer her to a specialist in adolescent gynecology.
Correct Answer: C
Rationale: Educating about toxic shock syndrome is critical due to the risk associated with tampon use.
What should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is being treated with naproxen (Naprosyn)?
- A. Anti-inflammatory effect will occur in approximately 8 weeks.
- B. Within 24 hours, the child will have antiinflammatory relief.
- C. The nurse should be called before giving the child any over-the-counter medications.
- D. If a dose is forgotten or missed, that dose is not made up.
Correct Answer: C,D
Rationale: Parents should consult the nurse before giving other medications due to potential interactions, and missed doses should not be doubled to avoid toxicity.
An adolescent female is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of:
- A. Antacids.
- B. Oral contraceptives.
- C. Multiple vitamins.
- D. Protein shakes.
Correct Answer: B
Rationale: Amoxicillin can reduce the effectiveness of oral contraceptives, increasing the risk of unintended pregnancy. The nurse should educate the adolescent about this interaction and suggest additional contraceptive measures during antibiotic therapy.