Question

Select the assessment findings that require follow-up by the nurse:

a. Client is accompanied by another adolescent
b. Foul-smelling vaginal discharge
c. Experiencing some pain during urination
d. Denies any fever and denies any abdominal pain, flank pain, urinary frequency, or urinary urgency
e. Admits to being sexually active
f. Three different partners
g. "My parents are very strict. They would kill me if they knew."
h. Client does not use oral contraceptives
i. A condom has only been used a few times during sexual activity
j. Last menstrual period was 18 days ago

Answer 1

The assessment findings that require follow-up by the nurse include foul-smelling vaginal discharge, pain during urination, being sexually active with multiple partners, not using oral contraceptives regularly, inconsistent use of condoms, recent sexual activity without reliable contraception, the statement about strict parents, and the last menstrual period being 18 days ago.

Step-by-step explanation:

The assessment findings that require follow-up by the nurse in this case are:

• Foul-smelling vaginal discharge
• Pain during urination
• Being sexually active with multiple partners
• Not using oral contraceptives regularly
• Inconsistent use of condoms
• Recent sexual activity without reliable contraception
• The statement about strict parents
• Last menstrual period was 18 days ago

These assessment findings suggest the possibility of a sexually transmitted infection (STI) and the need for further evaluation and treatment to ensure the student's health and well-being. It is important for the nurse to provide support, education, and appropriate resources to help the student make informed decisions about their sexual health.