A nurse is caring for an adolescent who requests screening for sexually transmitted infections (STI). The client asks the nurse. "Do you have to tell my parents?" How should the nurse respond to the adolescent?

"We only have to tell your parents if your test comes back positive."

"We need your parents" permission if you are on their insurance."

"We will have to get your parents' consent before testing you for STIs."

“We can test you for STIs without informing your parents."

Answer and Explanation

The Correct Answer is D

Rationale:

A. "We only have to tell your parents if your test comes back positive.": Giving conditional privacy based on test results is misleading. Confidentiality in STI testing applies regardless of the outcome and is protected by law in many regions for adolescents.

B. "We need your parents' permission if you are on their insurance.": Insurance coverage does not determine the legal right to consent. While explanation of benefits forms may create confidentiality challenges, consent laws usually allow minors to access STI testing independently.

C. "We will have to get your parents' consent before testing you for STIs.": Requiring parental consent for STI testing contradicts legal protections in many areas that allow minors to access sexual and reproductive health care without parental involvement.

D. “We can test you for STIs without informing your parents.": Supporting the adolescent's autonomy and legal rights, this answer provides accurate information about confidential care and encourages open, respectful communication between the nurse and client.

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Correct Answer is B

Explanation

Rationale:

A. Polyuria: Polyuria is not a typical symptom of alcohol withdrawal. Although chronic alcohol use may affect renal function, withdrawal is more commonly associated with symptoms of autonomic hyperactivity rather than increased urine output.

B. Hypertension: Hypertension is a common manifestation of alcohol withdrawal due to autonomic nervous system overactivity. As the central nervous system adapts to the absence of alcohol, clients may experience elevated blood pressure, tremors, and agitation.

C. Constipation: Constipation is not expected during alcohol withdrawal. Clients are more likely to experience diarrhea or gastrointestinal upset due to nervous system stimulation and stress responses.

D. Bradycardia: Bradycardia is not characteristic of alcohol withdrawal. Instead, clients often present with tachycardia and other signs of heightened sympathetic activity due to the sudden absence of CNS depressant effects.

A. "I should do aerobic exercises once per day." B. "I will increase my fluid intake to 1,700 milliliters per day." C. "I should practice pursed-lip breathing exercises." D. "I will consume low-protein, low-calorie foods."

Correct Answer is C

Explanation

Rationale:

A. "I should do aerobic exercises once per day.": While exercise is beneficial for clients with COPD, it should be individualized and not necessarily done daily, especially in the beginning. Overexertion can worsen symptoms, so gradual and well-monitored activity is recommended.

B. "I will increase my fluid intake to 1,700 milliliters per day.": Clients with COPD are typically encouraged to consume 2,000 to 2,500 mL of fluids daily unless contraindicated. Higher fluid intake helps thin secretions, making them easier to expectorate and improving airway clearance.

C. "I should practice pursed-lip breathing exercises.": Pursed-lip breathing improves ventilation by keeping airways open longer during exhalation, reducing air trapping and dyspnea. It is a fundamental breathing technique taught to clients with COPD to improve oxygenation and control shortness of breath.

D. "I will consume low-protein, low-calorie foods.": Clients with COPD often have increased energy demands due to the work of breathing. A high-protein, high-calorie diet is typically recommended to prevent muscle wasting and support respiratory muscle strength.

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A nurse is caring for an adolescent who requests screening for sexually transmitted infections (STI). The client asks the nurse. "Do you have to tell my parents?" How should the nurse respond to the adolescent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has alcohol use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has a new diagnosis of COPD. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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