A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

Ask the parents to leave so that you can be with the patient alone.

Tell the parents you suspect the girl might be pregnant.

Obtain consent for pregnancy testing from the parents.

Omit the routine pregnancy test since the girl is not sexually active.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is not appropriate because it may make the parents feel excluded or suspicious. It may also make the girl feel uncomfortable or scared. The parents have the right to be present and involved in their daughter's care, unless they pose a threat to her safety.

Choice B reason: This is not appropriate because it may offend or upset the parents and the girl. It may also damage the trust and rapport between the provider and the family. The provider should not make assumptions or accusations based on the girl's symptoms.

Choice C reason: This is appropriate because it respects the parents' authority and the girl's privacy. It also allows the provider to rule out pregnancy as a possible cause of the abdominal pain, and to offer appropriate counseling and treatment if needed.

Choice D reason: This is not appropriate because it may miss a potential diagnosis or complication. The provider should not rely solely on the parents' or the girl's statements about sexual activity, as they may be inaccurate or dishonest. The provider should follow the standard of care and perform a pregnancy test for any female of childbearing age with abdominal pain.

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Correct Answer is A

Explanation

Choice A reason: This response is correct because a sweat chloride test is the gold standard for diagnosing CF. CF is a genetic disorder that affects the function of the chloride channels in the cells, leading to thick and sticky mucus in various organs. A sweat chloride test measures the amount of chloride in the sweat, which is abnormally high in people with CF.

Choice B reason: This response is not correct because serum calcium is not related to CF. Serum calcium is a measure of the amount of calcium in the blood, which is influenced by factors such as diet, vitamin D, parathyroid hormone, and kidney function.

Choice C reason: This response is not correct because bronchoscopy is not a diagnostic test for CF. Bronchoscopy is a procedure that involves inserting a flexible tube with a camera into the airways to examine the lungs and collect samples. Bronchoscopy may be used to treat complications of CF, such as mucus plugs or infections, but it is not essential for establishing the diagnosis.

Choice D reason: This response is not correct because urine creatinine is not a diagnostic test for CF. Urine creatinine is a measure of the amount of creatinine, a waste product of muscle metabolism, in the urine. Urine creatinine reflects the kidney function and muscle mass, but it is not affected by CF.

A. Administer Synagis® immediately and encourage fluids by mouth. B. Administer antiviral medication, limit fluids and give antitussives. C. Encourage fluids by mouth, IV antibiotics, and oxygen mist therapy. D. Provide oxygen mist therapy, administer IV fluids, and hand washing.

Correct Answer is D

Explanation

Choice A reason: This is not the correct answer because Synagis® is a monoclonal antibody that is given as a prophylaxis to prevent severe RSV infection in high-risk infants. It is not effective as a treatment for RSV bronchiolitis.

Choice B reason: This is not the correct answer because antiviral medication is not routinely recommended for RSV bronchiolitis, as it has not been shown to improve outcomes. Limiting fluids and giving antitussives may also be harmful, as they can cause dehydration and suppress the cough reflex.

Choice C reason: This is not the correct answer because IV antibiotics are not indicated for RSV bronchiolitis, which is a viral infection. Antibiotics may increase the risk of antibiotic resistance and adverse effects.

Choice D reason: This is the correct answer because oxygen mist therapy can help humidify the air and relieve the respiratory distress. IV fluids can prevent dehydration and maintain electrolyte balance. Hand washing can prevent the spread of RSV infection to other patients and staff.

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A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

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Naxlex Comprehensive Predictor Exams

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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