The nurse admits a female adolescent to the provider's office who ...

[MirandaLo]

The nurse admits a female adolescent to the provider's office who has scheduled the appointment for completion of a health form that will allow the teen to participate in high school sports.
 
  The teen tells the nurse, I want to obtain an athletic scholarship so I can go to college, and will do whatever it takes to be the best. The nurse interprets this statement as an indication for a discussion about: 1. Amenorrhea.
  2. Anabolic steroid use.
  3. Muscle conditioning.
  4. Nutrition.

Question 2

The nurse is caring for a client admitted with a diagnosis of acute renal failure who asks, Does this mean my kidneys are failing and I will need a kidney transplant? The nurse explains:
 
  1. Acute kidney failure can be reversed with prompt treatment, and usually will not destroy the kidney.
  2. Kidney transplantation is highly likely, and it would be a good idea to start talking to family members.
  3. When the doctor comes to see you, we can talk about whether you will need a transplant.
  4. No, don't think that. You're going to be fine.

[Sierray]

Answer to Question 1

2
Rationale: While any female athlete should understand the importance of nutrition and proper conditioning of muscles, along with the risk of amenorrhea with extreme exercise, this client is saying she will do anything necessary to obtain an athletic scholarship, so it is important for the nurse to address the dangers associated with the use of anabolic steroids.

Answer to Question 2

1
Rationale: Acute renal failure is often resolved without need for transplant if treatment is initiated quickly. There is no need to start lining up donors or wait for the provider to arrive to explore options. Telling the client he will be fine is condescending, provides no information, and is not within the nurse's scope of expertise.