The parent of a 13-year-old boy is concerned because the teenager ...

[cherise1989]

The parent of a 13-year-old boy is concerned because the teenager wants to hang out with friends all the time and has stated that he wants to get his ear pierced because all his friends have pierc-ings. What is the best response from the nurse?
 
  a. I think you need to seek counseling for your son.
  b. I think this is just a phase that will quickly pass.
  c. Your son needs to find new friends.
  d. Your son's behavior is normal; he is try-ing to assert his independence.

Question 2

Which patient has the greatest risk for ECV deficit?
 
  a. A 4-month-old infant with fever and vo-miting
  b. A 17-year-old adolescent with acute ap-pendicitis
  c. A 28-year-old woman with Crohn's dis-ease
  d. A 63-year-old man with peptic ulcer dis-ease

[ju]

Answer to Question 1

D
As children enter adolescence, they develop greater independence and a sense of identity. The adolescent begins to separate emotionally from the family, and the peer group begins to have a stronger influence. To relieve the tensions associated with the physical and psychosocial changes, as well as peer pressure, adolescents often engage in risk-taking behaviors such as smoking, drinking alcohol, and using drugs. This increases the risk for accidents such as drowning and motor vehicle accidents. Counseling and finding new friends are not needed because the boy is demonstrating normal signs of development. Adolescence does not quickly pass.

Answer to Question 2

A
Fever increases insensible water loss through the skin and lungs. Infants and very young children have relatively more body surface area and higher percentage of body water than older children and adults. They have greater water needs and immature kidneys. Infants are at greater risk for ECV deficit and hypernatremia because their body water loss is proportionately greater per kilo-gram of weight. Although acute appendicitis may cause vomiting and an active episode of Crohn's disease may cause diarrhea, adolescents and young adults have less risk of ECV deficit than an infant. An older adult has increased risk of ECV deficit if there is a large fluid output; however, peptic ulcer disease ordinarily does not cause a large fluid output.

[cherise1989]

Excellent

[marict]

Gracias!