You are working in a Pediatric Clinic at the local hospital. You have performed a complete physical on four children. Referral is indicated in which situation?
a. Secondary sex characteristics present, no menses, age 15
b. No secondary sex characteristics, age 12
c. Secondary sex characteristics present, age 11
d. No secondary sex characteristics, age 14
D
The lack of secondary sex characteristics in a 14-year-old should prompt the parents to have the child evaluated by a health care provider. Menstruation may not occur until age 16 or 17 . Age 11 is considered prepubescent age and lack of secondary sex characteristics is not viewed as abnormal until the age of 14 . The presence of secondary sex characteristics would be of concern in a child under the age of 8.
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A patient experiencing chronic pain asks the nurse if there is "anything else" that can be done to help with the pain. Which response should the nurse make to address complementary therapies with the patient?
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A patient is admitted to the Neuro ICU with a suspected diffuse axonal injury. What would be the primary neuroimaging diagnostic tool used on this patient to evaluate the brain structure?
A) MRI B) PET scan C) X-ray D) Ultrasound
Following a motor vehicle accident, a client with injuries to the face is tested for muscle strength. The nurse determines there is adequate strength of the eyes and eyelids when the client is able to:
A) blink rapidly. B) keep eyelids closed for 30 seconds. C) follow the nurse's finger movements with eyes. D) close eyes tightly.
On the second postpartum day, a client complains of burning, urgency, and frequency of urination. A urinalysis is obtained, and the results indicate the presence of a urinary tract infec-tion
The nurse instructs the client regarding which measures to take for the prevention and treatment of the infection? Select all that apply. 1. Urinate frequently throughout the day. 2. Fluid intake should be increased to at least 3000 mL/day. 3. Prescribed medication must be taken until it is completed. 4. Foods and fluids that will increase urine alkalinity should be consumed. 5. Wipe the perineal area from front to back after urinating.