During a routine physical examination, a middle-aged female ...

[Shelles]

During a routine physical examination, a middle-aged female client reports concern about weight gain over the past 2 years despite not having made any significant changes in diet or exercise patterns.
 
  Which factor may be responsible for the reported changes in the client's weight?
  1. Increased hormone levels.
  2. Increased body mass index.
  3. Reduced muscle nerve conduction.
  4. Increased adipose tissue.

Question 2

In preparation for a sport's physical examination, the nurse is assessing the height of an adolescent client, who measures 55. The client voices concerns about his lack of stature and asks if he has reached his full height.
 
  Which response by the nurse is most appropriate?
 
  1. By age 16, you are finished growing.
  2. Is your father very tall?
  3. Why do you hope to grow taller?
  4. You may continue to grow into your early 20s.

[bpool94]

Answer to Question 1

Correct Answer: 4

During this client's stage of development, there is a reduction, not an increase, in hormone levels as menopause (the female climacteric) approaches. Decreased hormone production results in an increase in body weight; the amount of adipose tissue also increases. Body mass index is determined by height and weight, but is not responsible for weight changes. The changes in muscle and nerve development are not directly implicated in the body changes being reported.

Answer to Question 2

Correct Answer: 4

Skeletal growth may continue until age 25, when the epiphyses of the long bones are finally fused. On average, the fastest rate of growth in adolescent males occurs at about age 14 and continues for 24-30 months. After that time, growth continues but at a slower rate. Although a child's height may relate to that of the parents, this statement does not respond to the client's question. Asking the teen about his motivation to grow taller does not respond to his question.

[Shelles]

Thank you

[bpool94]

Happy to help you