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An 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:

"We cannot promise that the hospital will not contact your parents surrounding the details of this visit, including billing."

"We will not contact your parents regarding this visit."

"Who would you like us to contact about your visit here today?"

"We will need to contact your parents for consent to prescribe medications."

Answer and Explanation

The Correct Answer is B

Choice A reason: This choice is incorrect. Confidentiality laws often protect the privacy of minors seeking treatment for sexually transmitted diseases.
Choice B reason: This is the correct choice. The law typically allows minors to receive confidential treatment for sexually transmitted diseases.
Choice C reason: This choice is incorrect. It suggests that someone else needs to be contacted, which is not necessary if the patient wishes for the visit to remain confidential.
Choice D reason: This choice is incorrect. Minors may consent to their own treatment for sexually transmitted diseases in many jurisdictions without parental consent.

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Correct Answer is D

Explanation

Choice A reason: Increased deep tendon reflexes are not typically associated with hyponatremia.
Choice B reason: Bradycardia is a concern but is not the most immediate complication of hyponatremia.
Choice C reason: Respiratory distress may occur, but it is not the primary concern with hyponatremia.
Choice D reason: This is the correct choice. Seizures can occur with severe hyponatremia and require immediate intervention. The nurse should monitor the child closely for any signs of neurological changes.

A. Hemoglobin A1C of 6.2%. B. Fasting plasma glucose of 189 mg/dL (10.49 mmol/L). C. High-density lipoprotein of 40 mg/dL (1.03 mmol/L). D. Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L).

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.

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An 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a new RN on the pediatric unit, cautions the new nurse to be especially alert for which condition in the child?

Correct Answer is D

Explanation

In an outpatient diabetic clinic, the nurse is assessing clients. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

Correct Answer is A

Explanation

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