During her sports physical examination, 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?
Encourage the client to discuss her need for contraceptives with her parents.
Counsel the client about the risks and benefits of using oral contraceptives.
Explain that she needs parental approval to receive contraceptives.
Tell the client how to receive a variety of free oral contraceptives from the clinic.
The Correct Answer is B
Answer: (B) Counsel the client about the risks and benefits of using oral contraceptives.
Rationale:
(A) Encourage the client to discuss her need for contraceptives with her parents: Encouraging open communication with parents is important, but this action might not be the most appropriate in this context. The client has expressed a desire for confidentiality, and respecting her autonomy is essential, particularly when it comes to sensitive topics like sexual health.
(B) Counsel the client about the risks and benefits of using oral contraceptives: Providing counseling about the risks and benefits of oral contraceptives is the most appropriate action. It ensures the client is informed and able to make a decision that is right for her health and circumstances. The nurse can also discuss other contraceptive options and provide education on safe sex practices. This approach respects the client's autonomy and privacy while ensuring she receives the necessary information to make an informed choice.
(C) Explain that she needs parental approval to receive contraceptives: In many areas, adolescents have the right to obtain contraceptives without parental consent. Requiring parental approval might not only be legally incorrect but could also discourage the client from seeking necessary healthcare, potentially putting her at risk.
(D) Tell the client how to receive a variety of free oral contraceptives from the clinic: While providing information about accessing contraceptives is helpful, this option alone does not address the need for thorough counseling about the risks and benefits. It's important to ensure that the client understands the implications of using oral contraceptives and has the opportunity to ask questions and receive guidance tailored to her individual needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When advising a new mother on caring for a child with croup, the telephone triage nurse should prioritize concern for difficulty swallowing secretions. This symptom can indicate that the child's airway is becoming obstructed and requires immediate medical attention. A fever of 101.0°F (38.3°C) is a common symptom of croup and can be managed at home with antipyretics. Crying often when nursing is not a specific symptom of croup and may have other causes. A barking cough, worse at night, is a characteristic symptom of croup and can be managed at home with humidified air and hydration.
Correct Answer is B
Explanation
The client should be instructed to eat a source of sugar if he experiences profuse perspiration, which may indicate hypoglycemia or low blood sugar. Other symptoms of hypoglycemia include shakiness, confusion, dizziness, and weakness.
Eating a source of sugar, such as a glucose tablet, fruit juice, or candy, can quickly raise blood sugar levels and alleviate symptoms of hypoglycemia.
A racing pulse, excessive thirst, and seeing spots are not typically associated with hypoglycemia.
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