Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
Gloves should be worn when changing tampons.
Super-absorbency tampons are effective for overnight absorption.
Tampons should be changed at least every 4 hours.
TSS can be prevented by using a pad for the first 2 days of menstrual flow.
The Correct Answer is C
A. Gloves should be worn when changing tampons: Wearing gloves is not necessary; good hand hygiene (washing hands before and after) is the recommended practice.
B. Super-absorbency tampons are effective for overnight absorption: Super-absorbency tampons increase risk of toxic shock syndrome when used for long periods; use the lowest absorbency needed and avoid prolonged/overnight use.
C. Tampons should be changed at least every 4 hours: Frequent changing (generally every 4–8 hours, with many guidelines emphasizing changing at least every 4 hours to reduce risk) helps lower the risk of toxic shock syndrome.
D. TSS can be prevented by using a pad for the first 2 days of menstrual flow: Using pads at times of heavy flow may reduce tampon exposure but there is no rule that using a pad for the first 2 days alone prevents TSS; overall measures include using lowest absorbency needed, changing regularly, and avoiding prolonged tampon use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Worrying is normal for this age group.": Some worry is developmentally common, but new or worsening anxiety, especially over a year, merits assessment rather than being dismissed as simply normal.
B. "All children with ASD have mood disorders.": There is an increased risk of mood and anxiety disorders in children with congenital heart disease, but not every child will develop a mood disorder.
C. "Children with ASD are at greater risk for experiencing anxiety.": Children with atrial septal defect and other congenital heart conditions have a higher risk for anxiety and mood problems; caregivers should monitor and seek evaluation if concerns arise.
D. "Children may become anxious when they have to be in a health care setting.": Health-care–setting anxiety can occur in many children, but this statement does not address the condition-specific increased risk for anxiety associated with congenital heart disease.
Correct Answer is C
Explanation
A. Hair loss is common: Hair loss is not a typical or common side effect of leuprolide therapy; the common effects relate to estrogen suppression.
B. Vaginal secretions will increase: Estrogen suppression from leuprolide usually causes vaginal dryness and decreased secretions rather than an increase.
C. Hot flashes are common: Leuprolide suppresses ovarian estrogen production, producing menopausal-like effects such as hot flashes and night sweats.
D. Menstruation will become regular: Menstruation usually becomes irregular and often stops (amenorrhea) with depot leuprolide due to ovarian suppression.
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