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 D

Explanation

Choice A rationale
While it’s true that TSH levels can influence thyroxine levels, this statement is misleading. High TSH levels do not cause low thyroxine levels. Instead, the pituitary gland produces more TSH when thyroxine levels are low in an attempt to stimulate the thyroid gland to produce more thyroxine.
Choice B rationale
Thyroxine levels in breastfeeding infants should be within the normal range. High thyroxine levels are not typical and could indicate a problem with the infant’s thyroid gland.
Choice C rationale
This statement is incorrect. The thyroid gland begins producing thyroxine before birth, and levels should be within the normal range shortly after birth.
Choice D rationale
This is the correct explanation. In congenital hypothyroidism, the thyroid gland does not produce enough thyroxine, leading to high levels of TSH. The pituitary gland produces more TSH in an attempt to stimulate the thyroid gland to produce more thyroxine.

A. Rice B. Barley C. Rye D. Oats

Correct Answer is A

Explanation

Choice A rationale
Rice is a gluten-free grain and is safe for individuals with celiac disease to consume.
Choice B rationale
Barley contains gluten, a protein that triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Therefore, barley should be avoided.
Choice C rationale
Rye also contains gluten and should be avoided by individuals with celiac disease.
Choice D rationale
Oats are often cross-contaminated with gluten-containing grains and should be consumed with caution. Only oats labeled as gluten-free are safe for individuals with celiac disease.

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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

A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid-stimulating hormone (TSH). What is the best explanation for this finding?

Correct Answer is D

Explanation

A nurse is educating parents about essential dietary modifications for their child, who has recently been diagnosed with celiac disease. Which foods should the nurse include in the list of permissible foods for this child?

Correct Answer is A

Explanation

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