A nurse is preparing to perform a physical examination for a 16-year-old adolescent. Which of the following actions should the nurse plan to take?
Encourage the parents to remain in the room.
Avoid using medical terminology during the examination.
Allow the adolescent to handle the equipment.
Limit the adolescent's choices throughout the examination
The Correct Answer is C
A. Encourage the parents to remain in the room: Adolescents benefit from privacy during a physical examination to promote trust, autonomy, and open communication about sensitive issues. Parents may be asked to step out during parts of the exam, so keeping them present at all times is not recommended.
B. Avoid using medical terminology during the examination: While explanations should be clear, avoiding all medical terminology can limit the adolescent’s understanding. Using age-appropriate language along with brief medical terms helps the adolescent learn about their health and fosters health literacy.
C. Allow the adolescent to handle the equipment: Allowing the adolescent to interact with examination tools (e.g., stethoscope, blood pressure cuff) reduces anxiety, promotes engagement, and increases cooperation. Hands-on involvement empowers the adolescent and helps them feel more comfortable during the assessment.
D. Limit the adolescent's choices throughout the examination: Providing choices whenever possible, such as the order of nonurgent assessments or clothing options, supports autonomy and collaboration. Restricting choices can increase resistance and reduce the adolescent’s comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hgb 12 g/dL: Hemoglobin at 12 g/dL is within the expected range for a healthy pregnant client in the third trimester. Normal pregnancy ranges typically decrease slightly due to hemodilution, and this value does not indicate a need for provider notification.
B. Platelet count 90,000/mm³: A platelet count below 100,000/mm³ (thrombocytopenia) is concerning during pregnancy and may indicate gestational thrombocytopenia, preeclampsia, or other hematologic disorders. This finding requires prompt provider notification for evaluation and potential intervention.
C. Hematocrit 37%: Hematocrit of 37% falls within normal limits for a pregnant client and does not indicate anemia or other abnormal findings. Routine monitoring is sufficient.
D. Creatinine 0.7 mg/dL: Creatinine is within the expected range for pregnancy, which is typically slightly lower than in nonpregnant adults due to increased renal clearance. This result does not warrant urgent provider notification.
Correct Answer is B
Explanation
A. "My baby has a yellowish layer covering their circumcision.": A thin yellow exudate on a circumcision site is a normal part of the healing process and represents the formation of a protective scab. It is not a sign of infection and does not require immediate reporting to the provider.
B. "My baby has crusty drainage in both eyes.": Bilateral eye crusting in a newborn may indicate conjunctivitis, which can be bacterial or viral and requires prompt evaluation. Newborn conjunctivitis can progress rapidly and may lead to complications if untreated, so the nurse should report this finding to the provider for timely intervention.
C. "My baby has loose stools that are greenish-yellow.": Loose, greenish-yellow stools are common in breastfed newborns due to the digestibility of breast milk and normal meconium transition. This finding is expected and does not indicate pathology.
D. "My baby's umbilical cord is still attached.": The umbilical cord typically detaches between 1–3 weeks of age. At 3 days old, it is normal for the cord to remain attached and requires only routine care and monitoring for signs of infection.
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