A nurse is discussing contraceptives with an adolescent who has disabilities. The adolescent has difficulty with motor movements and decreased memory. Which of the following birth control methods would be most appropriate for this child?
Intrauterine device
Depot medroxyprogesterone acetate injection
Contraceptive patches
Combined oral contraceptives
The Correct Answer is B
A. Intrauterine device (IUD). While IUDs are highly effective, they require a pelvic exam for insertion and periodic monitoring, which may be challenging for an adolescent with motor difficulties and decreased memory. Additionally, IUDs do not protect against sexually transmitted infections (STIs).
B. Depot medroxyprogesterone acetate injection. This is the best option because the injection is given every 3 months, making it easier for an adolescent with memory and motor impairments to maintain consistent contraceptive use. It also does not require daily adherence like oral contraceptives.
C. Contraceptive patches. The patch requires weekly changes, which may be difficult for someone with decreased memory and coordination issues, leading to potential gaps in contraceptive coverage.
D. Combined oral contraceptives. Oral contraceptives require daily adherence, which may not be reliable for an adolescent with memory impairments. Missing doses can reduce effectiveness, making them a less suitable option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.8"]
Explanation
Convert the child's weight from pounds to kilograms:
Formula:
kg = lb / 2.2
= 22 lb / 2.2 lb/kg
= 10 kg
Calculate the total daily dose of dexamethasone:
Total daily dose (mg) = Dose (mg/kg/day) × Weight (kg)
= 1.5 mg/kg/day × 10 kg
= 15 mg/day
Calculate the dose to be administered every 6 hours:
Dose per interval (mg/dose) = Total daily dose (mg/day) / Number of doses per day
= 15 mg/day / 4 doses/day
= 3.75 mg/dose
Calculate the volume of dexamethasone oral solution to administer:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
= 3.75 mg / 1 mg/mL
= 3.75 mL
Round to the nearest tenth:
3.75 mL rounded to the nearest tenth is 3.8 mL.
The nurse should administer 3.8 mL per dose.
Correct Answer is C
Explanation
A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.
B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.
C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.
D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.
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