A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

"The doctor can best help you with that after your physical examination."

"Before I can help you with that question, I need to know more about your sexual activity."

"You are so young. Are you sure you are ready for the responsibilities of a sexual relationship?"

"Because of your age, we need your parents' consent for an examination, and then we'll talk."

Answer and Explanation

The Correct Answer is B

A. "The doctor can best help you with that after your physical examination."

This response implies that a physical examination is necessary before discussing contraception, which may not be accurate. Contraceptive counseling can often occur without a physical examination, and the nurse can provide initial guidance based on the information available.

B. "Before I can help you with that question, I need to know more about your sexual activity."

This response is appropriate because it acknowledges the need for more information to provide personalized advice. It respects the individual's privacy while recognizing that different contraceptive methods may be suitable based on factors like sexual activity, health history, and personal preferences.

C. "You are so young. Are you sure you are ready for the responsibilities of a sexual relationship?"

This response may come across as judgmental and could potentially discourage open communication. It's essential to maintain a non-judgmental and supportive attitude when discussing sexual health with adolescents. Instead of questioning their readiness, the focus should be on providing accurate information and support.

D. "Because of your age, we need your parents' consent for an examination, and then we'll talk."

This response may not be appropriate as it suggests a potential barrier to seeking advice about contraception. Many jurisdictions allow adolescents to receive confidential reproductive health services, including contraception, without parental consent. Encouraging open communication and respecting confidentiality is crucial in supporting adolescents' access to reproductive healthcare.

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Correct Answer is A

Explanation

A. Obtain the client's vital signs: The nurse's priority is to assess the client for any injuries or complications that may have occurred during the fall. Obtaining vital signsprovides critical information about the client's immediate health status, such as the presence of hypotension, tachycardia, or other abnormalities that might indicate injury or a medical issue that caused the fall.

B. Inform the client's family member: While it may be necessary to inform the family of the incident, this is not the nurse's first priority. Ensuring the client’s safety and assessing their condition takes precedence.

C. Notify the client's provider: The provider needs to be informed of the fall, especially if there are injuries or changes in the client’s condition. However, this action should occur after the nurse has assessed the client and gathered pertinent information.

D. Assist the client back into bed: The nurse should not move the client until an assessment has been completed. Moving the client without first assessing their condition could potentially worsen any undiagnosed injuries, such as fractures or spinal injuries.

A. To prevent fever B. To provide analgesia C. To reduce inflammation D. To prevent blood clotting

Correct Answer is D

Explanation

A. Aspirin is not primarily prescribed to prevent fever. Its primary mechanism of action is related to its effects on platelets and blood clotting rather than its antipyretic (fever-reducing) properties.

B. While aspirin can provide analgesic (pain-relieving) effects, especially for mild to moderate pain, its use in clients with coronary artery disease is primarily due to its antiplatelet properties rather than its analgesic effects.

C. Aspirin has some anti-inflammatory properties, but in the context of coronary artery disease, its main benefit is related to its antiplatelet function rather than its anti-inflammatory effects.

D. Aspirin is widely prescribed in cardiovascular conditions like coronary artery disease because it inhibits the aggregation of platelets, reducing the risk of blood clot formation. This antiplatelet effect helps in preventing blood clots that could potentially lead to further blockages in the arteries, reducing the risk of complications such as heart attacks or strokes in individuals with heart disease.

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A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

Nursing Test Bank

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Correct Answer is A

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Correct Answer is D

Explanation

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