The nurse working in a physician's office admits a teen boy for a ...

[james9437]

The nurse working in a physician's office admits a teen boy for a physical examination who was accompanied to the office by his mother. The nurse's best action is to:
 
  1. Ask the adolescent if he would like his mother to accompany him to the examination room.
  2. Instruct the mother that she will not be allowed in the exam room, but can join her son when the doctor has finished the exam.
  3. Ask the mother if she wants to accompany her son to the examination room.
  4. Allow the mother and son to reach their own decision without interfering.

Question 2

The nurse tests the clean-catch urine specimen using a dipstick and finds protein, blood, white cells, and bacteria. The nurse suspects the client might have:
 
  1. Contaminated the urine specimen during collection.
  2. A urinary tract infection.
  3. Diabetes mellitus.
  4. Fluid volume deficit.

[akpaschal]

Answer to Question 1

1
Rationale: The teen should be asked if he wants his mother present for the physical examination. The boy might not be comfortable asking his mother to wait in the waiting room, and might need the nurse's help.

Answer to Question 2

2
Rationale: The client with blood, protein, white cells, and bacteria in the urine most likely has a urinary tract infection. Had the client contaminated the specimen, there might be bacteria, but there should not be any blood or protein. A client with diabetes, and elevated serum glucose, will have glucose in the urine. Fluid volume deficit would be indicated by a high specific gravity.

[james9437]

Gracias!

[upturnedfurball]

Thanks for the timely response, appreciate it