An adolescent patient comes to the school nurse with complaints of vague abdominal pain. What assessment data would help to confirm the nurse's suspicion that the adolescent has body image concerns?

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Question 1 of 5

An adolescent patient comes to the school nurse with complaints of vague abdominal pain. What assessment data would help to confirm the nurse's suspicion that the adolescent has body image concerns?

Correct Answer: A

Rationale: Body image concerns in adolescents often tie to eating-defensiveness about food scrutiny suggests disordered eating (e.g., anorexia), linking pain to image stress. Sexual activity, irregular periods, or parent conflicts point elsewhere-STI, hormonal issues, or family tension. Food focus signals image worry, per developmental psychology.

Question 2 of 5

Beta-adrenergic blocking drugs are used in children for disorders similar to those in adults. What adrenergic blocking agent is used during surgery for pheochromocytoma?

Correct Answer: C

Rationale: Phentolamine is used during surgery for pheochromocytoma in children. Prazosin is used to treat hypertension in children. Propranolol and guanethidine are not indicated for use in children with a pheochromocytoma. The nurse should understand the indications for phentolamine to ensure safe and effective administration.

Question 3 of 5

A client is to receive enteral nutrition. Which information should the nurse provide to the client and family?

Correct Answer: A

Rationale: Enteral nutrition involves delivering nutrients directly into the gastrointestinal tract, typically via a tube, and can be administered intermittently (e.g., bolus feedings) or continuously (e.g., via a pump), offering flexibility based on the client's needs and tolerance. This method contrasts with parenteral nutrition, which uses veins, making the venous administration statement inaccurate for enteral feeding. The purpose of enteral nutrition often includes supporting clients who cannot swallow adequately-due to conditions like dysphagia-ensuring they receive sufficient calories and nutrients to prevent malnutrition. However, enteral feedings are typically formula-based, not thinned pureed food, as specialized formulas provide balanced nutrition tailored to medical needs, unlike pureed diets which are less common in tube feeding. The intermittent or continuous delivery option is key education, as it addresses how the therapy adapts to lifestyle and clinical status, providing practical understanding for the client and family while clarifying enteral nutrition's gastrointestinal focus over intravenous methods.

Question 4 of 5

Which statement about ARBs does the nurse identify as being true?

Correct Answer: A

Rationale: One of the key differences between Angiotensin II Receptor Blockers (ARBs) and Angiotensin-Converting Enzyme (ACE) inhibitors is their impact on potassium levels. While both medications can cause hyperkalemia (high potassium levels), it is generally considered more likely to occur with ARBs compared to ACE inhibitors. This is because ACE inhibitors inhibit the breakdown of bradykinin, which in turn can enhance potassium retention, increasing the risk of hyperkalemia. Therefore, the nurse would correctly identify this statement about ARBs as being true.

Question 5 of 5

Which of the following medications reduces immune system-mediated inflammation via inhibition of pyrimidine synthesis to reduce the number of activated lymphocytes in the CNS?

Correct Answer: C

Rationale: Teriflunomide, used in multiple sclerosis, inhibits dihydroorotate dehydrogenase, blocking pyrimidine synthesis critical for lymphocyte proliferation, reducing CNS inflammation by limiting activated immune cells. Riluzole modulates glutamate for ALS, not immunity. Rotigotine, a dopamine agonist, treats Parkinson's. Dexamethasone, a corticosteroid, suppresses inflammation broadly via glucocorticoid pathways, not pyrimidine-specific mechanisms. Teriflunomide's targeted action on lymphocyte replication distinguishes it in MS, decreasing relapses by curbing immune-mediated damage, a precise fit for this description.

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