During her sports physical examination, a 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?
Tell the client how to receive a variety of free oral contraceptives from the clinic.
Encourage the client to discuss her need for contraceptives with her parents.
Explain that she needs parental approval to receive contraceptives.
Counsel the client about the risks and benefits of using oral contraceptives
The Correct Answer is D
While it is essential to prioritize the client's confidentiality and autonomy, it is also important to provide the client with information and education about the available options. In this case:
A. Telling the client how to receive free oral contraceptives from the clinic without addressing the client's need for information and counseling is not an adequate response. It's essential to ensure the client is well-informed about her choices.
B. Encouraging the client to discuss her need for contraceptives with her parents is a valid suggestion, but it may not always be practical or possible for every individual, and the client has already expressed her desire for confidentiality. The nurse should respect the client's autonomy and right to make her own healthcare decisions.
C. Explaining that parental approval is needed to receive contraceptives may discourage the client from seeking essential contraceptive services and may not align with the laws and regulations in many places that allow minors to access contraceptives confidentially.
D. Counseling the client about the risks and benefits of using oral contraceptives is an important step. This allows the client to make an informed decision about her sexual health and contraceptive options. The nurse should also discuss safer sex practices, regular healthcare check-ups, and the importance of open communication with healthcare providers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The mother being a single parent and living with her parents may have an impact on the family dynamics and support system but is not the most significant finding when it comes to addressing the baby's sleep issues.
B. The baby being irritable during feedings is important information and should be addressed, but it may not be the most significant finding when it comes to the baby's sleep patterns.
C. The diaper area shows severe skin breakdown.
Severe skin breakdown in the diaper area can be indicative of several issues, including frequent diaper changes, diaper rash, or potential underlying health concerns. This finding suggests that the infant may have discomfort or pain related to the diaper area, which could be contributing to the baby's nighttime awakenings and sleep disturbances.
D. The infant's formula being changed twice may be relevant, but it is not as significant as severe skin breakdown, which can indicate immediate discomfort for the baby.
Correct Answer is A
Explanation
Projectile vomiting in a 5-week-old infant can be indicative of a condition known as pyloric stenosis. Pyloric stenosis is a narrowing of the pylorus, the opening from the stomach to the small intestine. It results in delayed gastric emptying, leading to the forceful, projectile vomiting observed after feedings.
A. An olive-size mass in the epigastric area is a characteristic finding in infants with pyloric stenosis. The hypertrophied pyloric muscle feels like an olive and is often palpable in the upper abdomen.
B. Stool that consists of mucus and blood is not a typical finding associated with pyloric stenosis. This symptom is more suggestive of gastrointestinal issues like infectious colitis or other conditions unrelated to pyloric stenosis.
C. Rebound tenderness in the left lower abdominal quadrant is not a common finding in infants with pyloric stenosis. Rebound tenderness is typically associated with conditions like appendicitis in a different part of the abdomen.
D. Frequent burping accompanied by poor feeding can be a sign of discomfort but is not a specific indicator of pyloric stenosis. Projectile vomiting is a more distinctive symptom associated with this condition.
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