A 14-year-old female is in for a physical exam. Which finding requires further investigation?
a. A height spurt since her last visit
b. Facial acne
c. The lack of breast buds
d. Noticeable sweating and body odor with activity
Answer: c. The lack of breast buds
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A client who tests positive for a mutation in the BRCA1 gene allele asks a nurse to be present when she discloses this information to her adult daughter. How should the nurse respond?
a. "I will request a genetic counselor who is more qualified to be present for this conversation." b. "The test results can be confusing; I will help you interpret them for your daughter." c. "Are you sure you want to share this information with your daughter, who may not test positive for this gene mutation?" d. "This conversation may be difficult for both of you; I will be there to provide support."
Which nursing diagnosis is categorized as a psychosocial, rather than a self-concept, diagnosis?
1) Ineffective Individual Coping 2) Situational Low Self-Esteem 3) Disturbed Personal Identity 4) Disturbed Body Image
The nurse is teaching a client who is receiving carbamazepine (Tegretol) for chronic trigeminal neuralgia. Which statement indicates that the client correctly understands the teaching?
a. "This drug will prevent seizures, which can occur because of trigeminal disease." b. "I expect to have surgery soon, so I can stop taking this drug now." c. "This medication is very successful in re-lieving pain. I am glad to be taking it." d. "I will avoid drinking alcohol because it can add to the side effects of this medi-cine."
The client who had a traumatic brain injury last week is now persistently unconscious and is being cared for in the intensive care unit. The family asks when attempts to stimulate the client will begin. What is the nurse's best answer?
1. "There is little hope of improvement from persistently unconscious states." 2. "Attempts begin while the client is still in the ICU." 3. "Stimulation will not begin until transfer to a rehabilitation unit." 4. "The stimulation process will begin when the client is physiologically stable."