During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse’s course of action?

Advise the client about the risks and benefits associated with oral contraceptives.

Inform the client about how to obtain a variety of free oral contraceptives from the clinic.

Encourage the client to discuss her contraceptive needs with her parents.

Explain that parental consent is required to receive contraceptives.

Answer and Explanation

The Correct Answer is A

Choice A rationale
It’s important to educate the adolescent about the risks and benefits associated with oral contraceptives. This includes potential side effects, effectiveness in preventing pregnancy, and the need for continued use of condoms to prevent sexually transmitted infections.
Choice B rationale
While it’s important to inform the client about how to obtain contraceptives, providing a variety of free oral contraceptives from the clinic may not be feasible or appropriate depending on the specific circumstances and regulations.
Choice C rationale
Encouraging the client to discuss her contraceptive needs with her parents could be beneficial, but it’s also important to respect her autonomy and confidentiality. In many places, adolescents have the right to access contraceptive services without parental consent.
Choice D rationale
The requirement for parental consent to receive contraceptives varies by location. In many places, adolescents can access contraceptive services without parental consent.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale
Creating an organization chart for tasks can help a child with ADHD manage their responsibilities and stay on track.
Choice D rationale
Designating an established area for study can provide structure and minimize distractions, helping a child with ADHD focus on their work.
Choice E rationale
Maintaining a consistent home schedule can provide predictability and structure, which can be beneficial for a child with ADHD5.
Choice B rationale
Nonstimulant medications can be beneficial in the treatment of ADHD. They are often used when stimulant medications are not effective or cause undesirable side effects.
Choice C rationale
While medication can be an important part of treatment for some children with ADHD, it is not always the best or only approach. Behavioral therapy and lifestyle changes are also important components of treatment.
Choice F rationale
Being diagnosed with ADHD does not automatically qualify a child for a specialized education plan. While some children with ADHD may benefit from individualized education programs (IEPs) or 504 plans, these are determined on a case-by-case basis.

A. Position prone after feeding. B. Breastfeed frequently. C. Avoid smoke exposure. D. Inspect the infant’s ears daily.

Correct Answer is C

Explanation

Choice A rationale
Positioning the infant prone after feeding is not recommended as it can increase the risk of sudden infant death syndrome (SIDS) and does not specifically prevent otitis media.
Choice B rationale
While breastfeeding has many health benefits, it is not specifically linked to the prevention of otitis media recurrence.
Choice C rationale
Avoiding smoke exposure is a key recommendation for preventing otitis media recurrence in infants. Secondhand smoke can irritate the eustachian tubes and contribute to fluid build-up in the middle ear, increasing the risk of otitis media.
Choice D rationale
Inspecting the infant’s ears daily is not a specific recommendation for preventing otitis media recurrence. While regular check-ups can help detect any issues early, they do not prevent the recurrence of otitis media.

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During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse’s course of action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating the caregiver of a school-age child who has recently been diagnosed with attention-deficit hyperactivity disorder (ADHD). Which of the caregiver’s statements indicate that they have understood the education? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

Correct Answer is C

Explanation

A child has been prescribed loratadine 5 mg to be taken orally once a day. The bottle is labeled “Loratadine for Oral Suspension, USP 5 mg per 5 mL.”. How many teaspoons should the nurse instruct the parent to give with each dose?

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