A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection and will need intravenous antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make?
"You seem scared to talk to your parents."
"If you want me to, I can tell your parents for you."
"Your parents will have to be told why you are being admitted."
"Give your parents a chance; they'll understand."
The Correct Answer is A
Choice A: "You seem scared to talk to your parents." This response is appropriate because it reflects the client's feelings and shows empathy and respect. It also opens the door for further communication and support from the nurse.
Choice B: "If you want me to, I can tell your parents for you." This response is not appropriate because it does not respect the client's autonomy and confidentiality. It also may make the client feel more anxious or helpless and may damage the trust between the client and the nurse.
Choice C: "Your parents will have to be told why you are being admitted." This response is not appropriate because it does not address the client's feelings or concerns. It also may sound harsh or threatening to the client, who may fear the consequences of telling her parents.
Choice D: "Give your parents a chance; they'll understand." This response is not appropriate because it does not acknowledge the client's feelings or concerns. It also may sound unrealistic or insensitive to the client, who may have valid reasons to doubt her parents' reaction or acceptance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Diarrhea is not the correct answer because it is not a common adverse effect of radiation treatment for breast cancer. Diarrhea is a condition that causes loose, watery, or frequent stools. It can be caused by various factors such as infection, medication, or food intolerance. It is more likely to occur as an adverse effect of radiation treatment for cancers that affect the digestive system, such as colorectal or stomach cancer.
Choice B: Anorexia is not the correct answer because it is not a common adverse effect of radiation treatment for breast cancer. Anorexia is a condition that causes loss of appetite or interest in food. It can be caused by various factors such as depression, stress, or nausea. It is more likely to occur as an adverse effect of chemotherapy or other systemic treatments for cancer that affect the whole body.
Choice C: Fatigue is the correct answer because it is a common adverse effect of radiation treatment for breast cancer. Fatigue is a condition that causes extreme tiredness or exhaustion that is not relieved by rest or sleep. It can be caused by various factors such as anemia, inflammation, or pain. It is a common adverse effect of radiation treatment for any type of cancer, as radiation can damage healthy cells and tissues and affect the body's energy production.
Choice D: Alopecia is not the correct answer because it is not a common adverse effect of radiation treatment for breast cancer. Alopecia is a condition that causes hair loss or thinning on the scalp or other parts of the body. It can be caused by various factors such as genetics, hormones, or infection. It is more likely to occur as an adverse effect of chemotherapy or other systemic treatments for cancer that affect the whole body.
Correct Answer is B
Explanation
Choice A reason: Antiestrogens are not a first-line treatment for endometriosis, as they can cause severe side effects such as bone loss, hot flashes, and vaginal dryness.
Choice B reason: Progestins are a first-line treatment for endometriosis, as they can suppress the growth of endometrial tissue and reduce pain and bleeding.
Choice C reason: Gonadotropin-releasing hormone analogues are a second-line treatment for endometriosis, as they can induce temporary menopause and cause bone loss, hot flashes, and mood changes.
Choice D reason: NSAIDs are not a treatment for endometriosis, as they can only provide symptomatic relief for pain and inflammation.
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