A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?

Rationale:

A. Rolling over from back to abdomen typically occurs around 4 to 6 months of age.

While it may be slightly delayed, it is not usually concerning at 5 months.

B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.

C. Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.

D. The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.

Rationale:

A. In many jurisdictions, adolescents have the legal right to consent to testing and treatment for sexually transmitted infections (STIs) without parental involvement. Obtaining written consent from the client is appropriate in this situation.

B. While verbal consent from the social worker may be helpful, the client's own consent is required for STI testing.

C. Depending on local laws and policies, contacting the client's parents for consent may not be necessary or appropriate, especially if the adolescent is seeking confidential care.

D. Postponing testing until the client's parents are present may delay necessary medical care and breach the adolescent's right to confidential healthcare.