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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 C

Explanation

Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.

A. Blood urea nitrogen of 22 mg/dL (7.9 mmol/L). B. Fasting blood sugar of 200 mg/dL (11.1 mmol/L). C. Serum creatinine of 1.9 mg/dL (169 mmol/L). D. Glycosylated hemoglobin A1c of 8%.

Correct Answer is C

Explanation

Choice A reason: While elevated, this level of blood urea nitrogen is not critical before an MRI with contrast.
Choice B reason: Elevated fasting blood sugar is a concern for diabetes management but not typically for MRI with contrast.
Choice C reason: This is the correct choice. Elevated serum creatinine indicates reduced kidney function, which could be worsened by contrast agents used in MRI.
Choice D reason: An A1c of 8% indicates poor long-term glucose control but is not a direct concern for MRI with contrast.

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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:

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Naxlex Comprehensive Predictor Exams

A patient with liver disease and esophageal varices is admitted for an episode of hematemesis. Which patient teaching should the nurse provide prior to discharge?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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