The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine system. Which changes occurring during the school-age and adolescence have a direct impact on the endocrine system?

1. Puberty
2. Adrenarche
3. Menarche
4. Sexual exploration
5. Risk-taking behavior


Correct Answer: 1,2,3
Rationale: Puberty, adrenarche, and menarche are all changes that occur during the school age and adolescence that have a direct impact on the endocrine system. Sexual exploration and risk-taking behaviors do not have a direct impact on the endocrine system.

Nursing

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A client has undergone cryosurgery for stage I cervical cancer. Which precaution or action does the nurse teach this client?

a. "Use sanitary napkins to manage discharge for the next several weeks." b. "Avoid sexual intercourse or becoming pregnant for the next 12 months." c. "If you should become pregnant, you will be at increased risk for preterm labor." d. "Your next menstrual cycle will be de-layed because of this procedure."

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When a female client tells the nurse, "I always get pains in my legs when walking," the nurse would question her about

a. amount of activity required to cause pain. b. history of hypertension. c. number of pregnancies. d. presence of swelling.

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Which diagnosis would be considered the priority nursing diagnosis for the client with Guillain-Barré syndrome?

A. Ineffective Breathing Pattern related to skeletal muscle weakness B. Risk for Injury, Impaired Skin Integrity related to immobility C. Self-care Deficit related to skeletal muscle weakness D. Anxiety related to powerlessness

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A nurse prepared an audiotaped exchange with another nurse of information about a patient. Which action did the nurse complete? The nurse completed a

a. Report. b. Record. c. Consultation. d. Referral.

Nursing