The nurse is helping the parents and their underweight adolescent ...

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The nurse is helping the parents and their underweight adolescent collaborate on planning a healthy menu. Of which of the following nutritional requirements of adolescents should the nurse be aware?
 
  A) Teenagers have a need for increased calories, zinc, calcium, and iron for growth.
  B) Teenage girls who are active require about 1,800 calories per day.
  C) Teenage boys who are active require between 2,000 and 2,500 calories per day.
  D) Adolescents require about 1,000 to 1,200 mg of calcium each day.

Question 2

A child with allergic rhinitis is prescribed a nasal antihistamine spray. When advising the parents about the use of the sprays, what should the nurse explain about the rebound phenomenon?
 
  A) It causes a permanent increase in nasal secretions.
  B) It causes reflux of gastric contents into the esophagus.
  C) It causes an increase in nasal secretions after an initial decrease.
  D) It causes a decrease in histamine release after an initial increase.

[sultansheikh]

Answer to Question 1

A
Feedback:
Teenagers have a need for increased calories, zinc, calcium, and iron for growth. However, the number of calories needed for adolescence depends on the teen's age and activity level as well as growth patterns. Teenage girls who are active require about 2,200 calories per day. Teenage boys who are active require between 2,500 and 3,000 calories per day. Adolescents require about 1,200 to 1,500 mg of calcium each day.

Answer to Question 2

C
Feedback:
Review with the parents that if nasal antihistamine sprays are given for more than 3 days, a rebound effect can occur. The nasal mucosa becomes more edematous rather than less edematous, and symptoms will appear to worsen rather than improve. The rebound phenomenon does not cause a permanent increase in nasal secretions, reflux of gastric contents into the esophagus, or a decrease in histamine release after an initial increase.

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