A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?

"My parents treat me like a baby sometimes."

"There's a pimple on my face, and I worry that everyone will notice it."

"I start taking ibuprofen a few days before my period starts."

"None of the kids at my school like me, and I don't like them either."

Answer and Explanation

The Correct Answer is D

A. "My parents treat me like a baby sometimes." This statement reflects a common adolescent feeling of striving for independence and experiencing frustration when treated as a child. It is a normal part of adolescent development and not a cause for immediate concern.

B. "There's a pimple on my face, and I worry that everyone will notice it." Concern about appearance is typical for adolescents due to the increased focus on body image and peer perception. This statement is a normal expression of adolescent self-consciousness.

C. ``I start taking ibuprofen a few days before my period starts." Using ibuprofen preemptively for menstrual cramps is a reasonable self-care practice for adolescents experiencing menstrual discomfort. This statement does not indicate any immediate health concern.

D. "None of the kids at my school like me, and I don't like them either." This statement indicates social isolation and potential issues with peer relationships, which can be a red flag for emotional distress or depression. It may suggest that the adolescent is experiencing significant difficulties in their social life that could lead to more serious mental health concerns.

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Correct Answer is D

Explanation

A. Beriberi: Incorrect. Caused by a deficiency in thiamine (Vitamin B1), not linked to high milk consumption.

B. Dehydration: Incorrect. Milk intake can contribute to hydration, though it should not replace water.

C. Diabetes mellitus: Incorrect. High milk consumption is not directly linked to diabetes in toddlers.

D. Iron-deficiency anemia: Correct. Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods, leading to reduced iron intake.

A. Absent plantar reflexes B. Inwardly turned foot on the affected side C. Asymmetric thigh folds D. Lengthened thigh on the affected side

Correct Answer is C

Explanation

A. Absent plantar reflexes: This is not typically associated with DDH. DDH affects the hip joint's formation, not reflexes.

B. Inwardly turned foot on the affected side: This finding is more indicative of conditions like clubfoot, not DDH.

C. Asymmetric thigh folds: This is a common finding in DDH. The folds may appear uneven due to the displacement of the femoral head.

D. Lengthened thigh on the affected side: In DDH, the thigh on the affected side may actually appear shorter, not longer, due to hip dislocation.

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A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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