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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

To prevent recurrence of otitis media in their infant. Exposure to secondhand smoke has been identified as a risk factor for recurrent otitis media.

B. While it is important to monitor the infant's ears for signs of infection, daily inspection alone is not sufficient to prevent recurrence of otitis media.

C. The prone position after feeding is not recommended for infants due to the risk of choking and aspiration, and it is not a preventive measure for otitis media.

D. While breastfeeding is associated with a reduced risk of otitis media, frequent breastfeeding alone is not sufficient to prevent recurrence of the condition.

A. Cross the arms and legs. B. Perform a log roll. C. Raise the hips. D. Flex the knees.

Correct Answer is B

Explanation

When moving an adolescent with scoliosis who is recovering after a surgical spinal instrumentation, the nurse should use the log roll technique. This technique involves keeping the spine in alignment while turning the client onto their side. Crossing the arms and legs, raising the hips, and ﬂexing the knees are not appropriate techniques for moving a client with spinal instrumentation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

Correct Answer is A

Explanation

The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving this client?

Correct Answer is B

Explanation

The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?

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