During her sports physical examination, a 15-year-old female requests oral contraceptives. She explains that she is sexually active and does not want her parents to know. Which action should the nurse take?
Tell the client how to receive a variety of free oral contraceptives from the clinic.
Encourage the client to discuss her need for contraceptives with her parents.
Explain that she needs parental approval to receive contraceptives.
Counsel the client about the risks and benefits of using oral contraceptives
The Correct Answer is D
While it is essential to prioritize the client's confidentiality and autonomy, it is also important to provide the client with information and education about the available options. In this case:
A. Telling the client how to receive free oral contraceptives from the clinic without addressing the client's need for information and counseling is not an adequate response. It's essential to ensure the client is well-informed about her choices.
B. Encouraging the client to discuss her need for contraceptives with her parents is a valid suggestion, but it may not always be practical or possible for every individual, and the client has already expressed her desire for confidentiality. The nurse should respect the client's autonomy and right to make her own healthcare decisions.
C. Explaining that parental approval is needed to receive contraceptives may discourage the client from seeking essential contraceptive services and may not align with the laws and regulations in many places that allow minors to access contraceptives confidentially.
D. Counseling the client about the risks and benefits of using oral contraceptives is an important step. This allows the client to make an informed decision about her sexual health and contraceptive options. The nurse should also discuss safer sex practices, regular healthcare check-ups, and the importance of open communication with healthcare providers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
Based on the provided information, it seems that the parents have an understanding of the echocardiogram procedure. Here's the assessment for each statement:
Statement:
The echocardiogram is an invasive procedure. (No understanding) - This statement is incorrect. An echocardiogram is a non-invasive procedure.
I can show my child a movie or read him a book during the procedure. (Understanding) - This statement indicates an understanding that the child can be comforted or distracted during the procedure.
Echocardiography uses soundwaves to produce images. (Understanding) - This statement reflects an understanding of the basic principle of how echocardiography works.
The echocardiogram will produce an image of the structure of the heart. (Understanding) - This statement shows an understanding of the purpose of the echocardiogram, which is to visualize the structure of the heart.
Correct Answer is B
Explanation
A. Collecting a sterile urine sample for culture and sensitivity is not the priority in this situation. The primary concern is the potential testicular torsion, and this action does not address that concern.
B Report the findings immediately to the healthcare provider.
Intense pain in the testicular area, especially when accompanied by significant erythema (redness) and swelling, can be indicative of a serious condition such as testicular torsion, which is a medical emergency. Testicular torsion occurs when the spermatic cord twists, cutting off blood supply to the testicle. It requires immediate medical evaluation and intervention.
C. Obtaining a swab of secretions from the penis and urethra is not the most immediate concern in the presence of intense testicular pain, erythema, and swelling. It may be relevant for other conditions but does not address the urgency of this situation.
D. Providing the adolescent with a urinal for urinary hesitancy does not address the primary concern, which is the possibility of testicular torsion. Testicular torsion is not related to urinary hesitancy.
Testicular torsion is a surgical emergency, and the healthcare provider should be notified immediately to evaluate the adolescent and initiate appropriate treatment. Delay in diagnosis and intervention can lead to testicular damage and potential loss of the affected testicle.
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