Nokea
During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse's course of action?
- A. Advise the client about the risks and benefits associated with oral contraceptives.
- B. Inform the client about how to obtain a variety of free oral contraceptives from the clinic.
- C. Encourage the client to discuss her contraceptive needs with her parents.
- D. Explain that parental consent is required to receive contraceptives.
Correct Answer: A
Rationale: Educating about risks and benefits respects autonomy and informs decision-making.
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The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?
- A. Position prone after feeding.
- B. Breastfeed frequently.
- C. Avoid smoke exposure.
- D. Inspect the infant's ears daily.
Correct Answer: C
Rationale: Avoiding smoke exposure reduces eustachian tube irritation, lowering otitis media risk.
The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?
- A. Surgery should be performed within one month to prevent bladder infections.
- B. Postponing the repair until the child reaches school age can alleviate fears of castration.
- C. The repair should be completed before the child is toilet-trained.
- D. The urethral repair should be carried out after the child reaches sexual maturity.
Correct Answer: C
Rationale: Repair before toilet training supports normal urinary function and reduces psychological impact.
An adolescent client reports to the nurse of walking with a limp due to pain localized in the right knee which worsens at night but denies any recent injury or trauma. The nurse observes swelling and tenderness in the right lower thigh and imaging results reveal radial ossification in the soft tissues. What condition should the nurse consider as the probable cause of the findings?
- A. Osteosarcoma
- B. Hemosiderosis
- C. Growing pains
- D. Rhabdomyolysis
Correct Answer: A
Rationale: Symptoms and radial ossification suggest osteosarcoma, a common bone tumor in adolescents.
The nurse is evaluating a child with acute glomerulonephritis who presents at the clinic with increased fatigue, facial swelling, and decreased appetite. The child's urine sample is dark yellow. What additional finding should the nurse report to the healthcare provider?
- A. Blood pressure 88/50 mmHg
- B. Weight loss
- C. Maculopapular rash over the trunk of the body
- D. Positive rapid strep test of the oropharynx
Correct Answer: D
Rationale: A positive strep test indicates a recent infection, a common cause of glomerulonephritis, requiring reporting.
When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?
- A. Fever 101.0° F (38.3°C)
- B. Barking cough, worse at night
- C. Frequent crying during nursing
- D. Difficulty swallowing secretions .
Correct Answer: D
Rationale: Difficulty swallowing secretions suggests severe airway swelling, requiring urgent attention.