A mother confides in the school nurse that she witnessed her son kissing another boy. Which concepts should guide the nurse to base a reply? (Select all that apply.)
a. Homosexual behavior in adolescents is not uncommon.
b. Homosexuality is a mental disorder.
c. Adolescents often desire to explore alternative lifestyles.
d. Homosexual tendencies should be addressed with counseling.
e. Parents should seek a support group for parents of gays.
ANS: A, C
Adolescents may experiment with an alternate sexual expression as part of their self-discovery. Homosexual activities are not uncommon in adolescence.
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The nurse realizes that when assessing the breasts of a client, the:
a. client must be in the lying position. b. lymph nodes as well as breast tissue are assessed. c. nipple should not be squeezed during breast examination. d. examination should be done annually.
The nurse is assessing a patient diagnosed with gastrointestinal bleeding. Which finding should alert the nurse that the patient's condition is deteriorating?
1. The patient reports feeling very tired. 2. Urinary output has increased over the previous hour to 50 mL. 3. The patient's skin is warm and dry. 4. Capillary refill time has increased.
A nurse calls the covering physician to report a patient's temperature of 101.7°F. Which of the following variables may impact their communication?
A. Time of day B. Workload of both the nurse and the physician C. A history of positive or negative communication encounters between these healthcare professionals D. All of the above
Thiazide diuretics are contraindicated if the client has:
a. emphysema. b. arteriosclerotic cardiovascular disease. c. renal failure. d. viral infection.