The nurse is seeing a 17-year-old female in the clinic for ...

[kamilo84]

The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. What topics will the nurse include in the teen's teaching plan?
 
  a. Smoking habits, folic acid intake, and heart disease
  b. Hyperlipidemia, distracted driving, and menstrual history
  c. Sexual activity, contraception, and screening for violence
  d. Optimum weight, hypothyroidism, and sexually transmitted diseases

Question 2

A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?
 
  a. My plan is to visit the outpatient clinic daily for treatment.
  b. I will see my health care provider at least every 2 weeks.
  c. My baby will not have to go through withdrawal when I take methadone.
  d. With oral methadone, my baby and I are at decreased risk of infection.

[aham8f]

Answer to Question 1

ANS: C
All the topics mentioned are worthy of discussion. However, sexual activity, contraception, and screening for violence have priority related to the age and gender of the patient. Because adolescents are often seen by a health care provider for various reasons before they become pregnant, counseling to improve health for a future pregnancy should be offered to them during any health care visit. Smoking cessation, attaining optimum weight, folic acid intake, and screening for violence are topics that should be discussed with all young women so that any future pregnancy has the most positive outcome.

Answer to Question 2

ANS: C
Pregnant women who use heroin are often prescribed an alternative drug such as methadone, a synthetic opiate. Methadone can be taken orally once daily and is long- acting, providing consistent blood levels to decrease the adverse fetal effects of wide swings in blood levels found with heroin use. Methadone also reduces the risk of infections from contaminated needles and drug-seeking behavior, such as prostitution. At therapeutic levels, it does not produce the euphoria or sedation of heroin and allows the woman to have a relatively normal lifestyle. The woman who receives a daily dose of methadone in a drug treatment program is more likely to receive prenatal care. However, the newborn must withdraw from methadone after birth.

[kamilo84]

Excellent

[momolu]

TYSM