A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)

Provide privacy during personal care and procedures.

Avoid discussing the changes related to puberty.

Treat the adolescent as if they are not competent to make decisions.

Disregard confidentiality to keep the parents informed of all aspects of care.

Show respect for the client's feelings and concerns.

Listen carefully to the client's thoughts and concerns regarding their hospitalization.

Answer and Explanation

Correct Answer : A,E,F

A. Providing privacy during personal care and procedures is essential for adolescents, as it helps them feel more secure and respected during a vulnerable time.

B. This option is incorrect; discussing changes related to puberty can help the adolescent understand their body and promote healthy coping mechanisms.

C. Treating the adolescent as if they are not competent undermines their autonomy and can negatively impact their self-esteem; adolescents should be involved in their care and decision-making when appropriate.

D. Disregarding confidentiality can lead to a breakdown of trust; it is important to respect the adolescent's privacy while also keeping parents informed within appropriate limits.

E. Showing respect for the client's feelings and concerns helps validate their experiences and fosters a supportive environment during a challenging time.

F. Listening carefully to the client’s thoughts and concerns encourages open communication, allowing the nurse to address any worries and support the adolescent’s emotional needs.

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Correct Answer is B

Explanation

A. This statement is incorrect; the spacer does not primarily increase medication delivery to the oropharynx.

B. The spacer helps to increase the amount of medication that reaches the lungs by allowing larger particles to settle out and preventing them from being deposited in the mouth and throat.

C. Inhaling slowly and deeply is recommended for effective medication delivery when using an MDI with a spacer.

D. Covering the exhalation slots would prevent proper airflow and could cause the child to inhale exhaled air, which is not recommended during inhalation.

A. If a dose of the medication is missed, double the dose at the next scheduled time. B. Use an electric razor while on this medication. C. Increase fiber intake to reduce the adverse effect of constipation. D. Mild nosebleeds are common during initial treatment.

Correct Answer is B

Explanation

A. Doubling the dose if a dose is missed can increase the risk of bleeding and is not recommended for warfarin. Instead, the client should take the missed dose as soon as remembered unless it's almost time for the next dose.

B. Using an electric razor is recommended to minimize the risk of cuts and bleeding, which is particularly important for clients on anticoagulants like warfarin.

C. While increasing fiber intake can be beneficial for overall health, it is not specifically necessary for addressing constipation related to warfarin therapy.

D. While mild nosebleeds may occur, they are not typically common during initial treatment. Clients should be informed to report any unusual or severe bleeding.

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A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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