Chapter 20: Physical Health Problems of Adolescence

Chapter 20: Physical Health Problems of Adolescence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. Nursing considerations with this drug include which of the following?

a.	Sun exposure increases effectiveness.
b.	Cosmetics with lanolin and petrolatum are preferred in acne.
c.	Application of the medication occurs at least 20 to 30 minutes after washing.
d.	Erythema and peeling are indications of toxicity and need to be reported.

 

 

ANS:  C

The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning sensation. The avoidance of sun and the use of sunscreen agents must be emphasized because sun exposure can result in severe sunburn. Cosmetics with lanolin, petrolatum, vegetable oil, lauryl alcohol, butyl stearate, and oleic acid can increase comedone production. Erythema and peeling are common local manifestations.

 

DIF:    Cognitive Level: Analysis                REF:   p. 777             TOP:   Nursing Process: Planning

MSC:  Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. Which of the following is the usual presenting symptom for testicular cancer?

a.	Solid, painful mass
b.	Hard, painless mass
c.	Scrotal swelling and pain
d.	Epididymis easily palpated

 

 

ANS:  B

The usual presenting symptom for testicular cancer is a heavy, hard, painless mass that is either smooth or nodular and palpated on the testes. Pain is not usually associated with a testicular tumor. Scrotal swelling needs to be evaluated. The epididymis is easily palpated in the normal scrotum.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 779

TOP:   Nursing Process: Assessment

MSC:  Client Needs: Physiological Integrity: Reduction of Risk Potential

 

3. A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain. He denies any trauma to the scrotum. The most appropriate nursing action is which of the following?

a.	Refer for immediate medical evaluation.
b.	Administer analgesics and recommend scrotal support.
c.	Apply an ice bag and observe for increasing pain.
d.	Reassure adolescent that occasional pain is common with the changes of puberty.

 

 

ANS:  A

Any adolescent boy with redness, swelling, or pain in the scrotum is referred for immediate evaluation. These are signs of testicular torsion, which is a medical emergency. If the possibility of testicular torsion is eliminated, appropriate interventions include administering analgesics and recommending scrotal support; applying an ice bag and observing for increasing pain; and reassuring the adolescent that occasional pain is common with the changes of puberty.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 780

TOP:   Nursing Process: Implementation

MSC:  Client Needs: Physiological Integrity: Reduction of Risk Potential

 

4. A 14-year-old boy of normal weight and his parents are concerned about bilateral breast enlargement. The nurse’s discussion of this should be based on which of the following?

a.	The presence of too much body fat
b.	Symptom that a hormonal imbalance is present
c.	Most likely part of normal pubertal development
d.	Indication that he is developing precocious puberty

 

 

ANS:  C

Gynecomastia is common during midpuberty in about one third of boys. For most, the breast enlargement disappears within 2 years. Although breast enlargement in overweight children can indicate too much body fat, in children of normal body weight it is a normal occurrence. If the gynecomastia persists beyond 2 years, then a hormonal cause may need to be investigated. Precocious puberty is the early onset of puberty, before age 9 in boys.

 

DIF:    Cognitive Level: Application           REF:   p. 780

TOP:   Integrated Process: Teaching/Learning

MSC:  Client Needs: Physiological Integrity: Reduction of Risk Potential