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A nurse is caring for an adolescent client who is pregnant and requires testing for sexually transmitted infections (STIS). The client expresses concern about confidentiality. Which of the following responses should the nurse make?

"As a part of adolescent healthcare, parents and guardians are informed about the status of their children for any healthcare concern."

"Depending on the results of the tests, there are mandated reports that must be made to the local health department."

"You must have a parent present for the procedure, so your parent will be informed about the testing."

"Most states will not allow you to consent to this type of testing without parental involvement."

Answer and Explanation

The Correct Answer is B

A. "As a part of adolescent healthcare, parents and guardians are informed about the status of their children for any healthcare concern." Many states allow adolescents to consent to STI testing and treatment without parental notification. Informing parents without consent may violate privacy laws and discourage adolescents from seeking care.

B. "Depending on the results of the tests, there are mandated reports that must be made to the local health department." This response balances confidentiality with legal reporting obligations for public health purposes and provides clear, honest information to the adolescent.

C. "You must have a parent present for the procedure, so your parent will be informed about the testing." Adolescents often have the legal right to receive confidential STI testing and treatment without parental consent or presence.

D. "Most states will not allow you to consent to this type of testing without parental involvement." In the majority of U.S. states, minors can legally consent to testing and treatment for sexually transmitted infections without parental involvement.

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Correct Answer is C

Explanation

A. Chicken pox: Chicken pox (varicella) typically presents with a vesicular rash starting on the trunk and spreading to the face and extremities. It does not cause bluish-white spots on the buccal mucosa and rarely appears without skin lesions.

B. Roseola: Roseola (sixth disease) is characterized by a high fever followed by a sudden rose-colored rash as the fever subsides. It does not cause lesions in the mouth such as Koplik spots, which are associated with measles.

C. Measles: Bluish-white spots on the buccal mucosa, known as Koplik spots, are a hallmark sign of measles and often appear before the characteristic maculopapular rash. This early sign helps identify the disease even when no other symptoms are present.

D. Erythema infectiosum: Also known as fifth disease, this condition usually presents with a "slapped cheek" facial rash followed by a lacy rash on the body. It does not produce oral lesions like the buccal mucosa spots seen in measles.

A. Strain the client's urine. B. Instruct visitors to stay 1 m (3.3 feet) away from the client. C. Attach a dosimeter to the client's gown. D. Limit each of the client's visitors to 2 hr per day.

Correct Answer is B

Explanation

A. Strain the client's urine: Straining urine is not necessary with low-dose rate brachytherapy for prostate cancer. The radioactive seeds are typically implanted permanently and remain in place; they are not expected to be excreted in the urine.

B. Instruct visitors to stay 1 m (3.3 feet) away from the client: Maintaining a safe distance reduces radiation exposure to others. Visitors, especially pregnant individuals and children, should remain at least 1 meter away to limit exposure while the implant is active.

C. Attach a dosimeter to the client's gown: The dosimeter is worn by staff members, not by the client. It measures cumulative radiation exposure to healthcare workers, ensuring safety guidelines are followed during patient care.

D. Limit each of the client's visitors to 2 hr per day: For low-dose permanent brachytherapy, the radiation levels are generally low, and strict time limits for visitors are usually unnecessary if distance and precautions are observed. Limiting time may apply more to high-dose temporary implants.

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A nurse is caring for an adolescent client who is pregnant and requires testing for sexually transmitted infections (STIS). The client expresses concern about confidentiality. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

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