The nurse is taking a health history on an adolescent. Which best describes how the chief complaint should be determined?
Use what the adolescent says to determine, in correct medical terminology, what the problem is.
Ask the adolescent, "Why did you come here today?".
Ask for a detailed listing of symptoms.
Interview the parent away from the adolescent to determine the chief complaint.
The Correct Answer is B
The correct answer is choice B. Ask the adolescent, "Why did you come here today?".
Choice A rationale:
Using the adolescent's own words in correct medical terminology to determine the problem is essential for accurate documentation, but it might not be the initial step in determining the chief complaint. The approach in choice B provides an opportunity for the adolescent to express their primary concern in their own terms.
Choice B rationale:
Asking the adolescent, "Why did you come here today?" allows them to voice their main reason for the visit in their own words. This approach respects their autonomy and encourages open communication. It also helps to identify the primary issue from the adolescent's perspective.
Choice C rationale:
While asking for a detailed listing of symptoms is important for a comprehensive health history, it might not be the best way to initially determine the chief complaint. This approach could potentially overwhelm the patient and miss the opportunity for them to express their primary concern.
Choice D rationale:
Interviewing the parent away from the adolescent might be necessary in certain situations, but it is not the best method for determining the adolescent's chief complaint. The adolescent's input is crucial for understanding their own health concerns and developing a patient-centered approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D: Verbalizing the importance of monitoring for medication side effects.
Choice A rationale:
Allowing the adolescent to make decisions about whether or not to take medication is important, but it is not the priority nursing goal for a 14-year-old diagnosed with Graves' disease. The priority is ensuring proper medication management and monitoring to control the thyroid dysfunction and prevent potential complications.
Choice B rationale:
Relieving constipation might be a consideration, but it is not the priority nursing goal for a 14-year-old diagnosed with Graves' disease. The primary focus is on addressing the thyroid-related issues and providing appropriate education and support to the adolescent.
Choice C rationale:
Developing alternative educational goals is not the priority nursing goal for a 14-year-old diagnosed with Graves' disease. While education is important, the immediate concern is managing the medical condition and ensuring the adolescent's well-being.
Choice D rationale:
Verbalizing the importance of monitoring for medication side effects is the priority nursing goal for a 14-year-old diagnosed with Graves' disease. Graves' disease is a thyroid disorder that requires medication management, typically involving antithyroid medications or other interventions. Monitoring for medication side effects ensures the adolescent's safety and helps to prevent adverse reactions or complications. It also empowers the adolescent to be vigilant about their health and medication regimen.
Correct Answer is ["A","E"]
Explanation
The correct answers are Choice A: Diabetes mellitus, Choice E: Urinary tract infection (UTI).
Choice A rationale:
Diabetes mellitus. This is one of the correct choices. Diabetes can lead to increased urinary frequency, urgency, and secondary enuresis (bedwetting) due to the impact of elevated blood glucose levels on the kidneys and bladder function.
Choice B rationale:
Hypocalciuria is not directly relevant to evaluating secondary enuresis with dysuria or urgency. Hypocalciuria refers to a lower-than-normal level of calcium in the urine and is not a common cause of urinary symptoms in this context.
Choice C rationale:
Nephrotic syndrome primarily involves the kidneys and is characterized by proteinuria, edema, hypoalbuminemia, and hyperlipidemia. While it can cause changes in urinary patterns, it is not typically associated with dysuria or urgency.
Choice D rationale:
Glomerulonephritis refers to inflammation of the glomeruli, which are the tiny filters in the kidneys. It can lead to hematuria (blood in the urine) and proteinuria, but it is not commonly associated with dysuria or urgency.
Choice E rationale:
Urinary tract infection (UTI). This is one of the correct choices. UTIs can cause symptoms such as dysuria (painful urination), urgency, and frequency. These symptoms are especially relevant in the context of evaluating a child with secondary enuresis.
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