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Wong’s Essentials of Pediatric Nursing

Marilyn J. Hockenberry; Cheryl C. Rodgers; David M. Wilson

Chapter 16

Health Problems of School-Age Children and Adolescents - all with Video Answers

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Chapter Questions

Problem 1

Which of the following should the nurse discuss with a 14-year-old adolescent female taking isotretinoin (Accutane) for the treatment of acne? Select all that apply.
a. Birth control methods
b. Feelings of depression
c. Sudden thoughts about hurting oneself
d. Blurred vision
e. Mood swings

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07:42

Problem 2

Joanna, a 19-year-old pregnant female, is at the clinic for her first prenatal care visit. She is in her first trimester. Joanna has been recently diagnosed with HIV and is concerned about the health of her unborn fetus. The nurse counsels Joanna that treatments are available to prevent or minimize perinatal transmission of HIV. The current evidence-based recommendations to prevent perinatal transmission of HIV are to:
a. Administer intravenous zidovudine 24 hours before delivery
b. Start a combination of antiviral drugs as soon as possible
c. Avoid giving antiretroviral drugs until the 28 th week of gestation
d. Wait until the infant is born because perinatal transmission before delivery is very rare

Ronald Prasad
Ronald Prasad
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01:36

Problem 3

Which of the following conditions may lead to the development of obesity in children and adolescents? Select all that apply.
a. Hereditary low metabolism
b. Physical inactivity
c. Socioeconomic status
d. Use of food as a positive reinforcer of desired behaviors
e. Availability of energy-dense foods and drinks
f. Positive self-esteem

Emily Himsel
Emily Himsel
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Problem 4

A 15-year-old female diagnosed previously with anorexia nervosa (AN) is admitted to the emergency department. Her mother states that her daughter has not voided in 24 hours and has been lethargic for the last 12 hours. The patient appears cachectic and pale, and her weight is recorded as 78 pounds. She is minimally responsive to painful stimulation. A number of diagnostic tests are obtained. Which one of these represents the most immediate threat to her life requiring intervention?
a. Serum sodium of $149 \mathrm{mEq}$
b. Serum potassium of $2.6 \mathrm{mEq}$
c. Hemoglobin of $6.8 \mathrm{mg}$
d. Arterial $\mathrm{pH}$ of 7.30

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00:19

Problem 5

Almost one half of all cases of pelvic inflammatory disease (PID) in the United States are caused by:
a. Neisseria gonorrhoeae
b. Chlamydia trachomatis
c. Treponema pallidum
d. Human papillomavirus (HPV)

Morgan Thompson
Morgan Thompson
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