Answer to Question 1
4
Rationale 1: This is not the major mental health issue associated with obesity.
Rationale 2: While the girls may dislike attending school, this is not the mental health problem the nurse should be evaluating.
Rationale 3: Adolescents may have issues related to spirituality, but this is not associated with obesity.
Rationale 4: Self-esteem is tied closely to body image, a common source of distress among obese adolescents. Therefore, the nurse will monitor the girls for issues with self-esteem.
Global Rationale:
Answer to Question 2
4
Rationale:
1. Varicella (chickenpox) and rubella (German measles) are unlikely if the child has had all recommended immunizations.
2. The rash of rubella is a pink, maculopapular rash that begins on the face and progresses downward to the trunk and extremities.
3. Roseola typically occurs in infants, and begins abruptly, with a high fever followed by a pale pink rash starting on the trunk and spreading to the face, neck, and extremities.
4. Fifth disease manifests first with a flulike illness, followed by a red slapped-cheek sign. Then a lacy maculopapular erythematous rash spreads symmetrically from the trunk to the extremities, sparing the soles and palms.
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