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 B

Explanation

Choice A rationale
Dividing the gluteal area into quarters and giving the IM injection into the upper outer quadrant is not the recommended technique for a 16-month-old toddler. This site is not typically used until after the child has begun walking regularly and has developed sufficient muscle mass.
Choice B rationale
Administering the injection into the middle of the lateral aspect of the thigh is the recommended technique for a 16-month-old toddler. The vastus lateralis muscle in the thigh is usually the preferred site for IM injections in infants and young children.
Choice C rationale
Using a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage is not the recommended technique for a 16-month-old toddler. The needle length should be appropriate for the age and size of the child, and a 1/2 inch needle may not be long enough to reach the muscle tissue.
Choice D rationale
Giving the injection in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process, is not the recommended technique for a 16-month-old toddler. The deltoid muscle in the arm is typically not used for IM injections until after the child is 3 years old.

A. Create an organization chart for tasks. B. Understand that nonstimulant medications show little benefit in treatment. C. Know that medication is the best approach to treatment. D. Designate an established area for study. E. Maintain a consistent home schedule. F. Anticipate being automatically entered into a specialized education plan.

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.

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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 giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?

Correct Answer is B

Explanation

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

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