A nurse is assessing an adolescent female who began menstruating ...

[itsmyluck]

A nurse is assessing an adolescent female who began menstruating 2 years ago. She has grown 1/2 inch in the last 2 years but has not gained any weight. What action by the nurse is most appropriate?
 
  a. Ask the teen to provide a 24-hour diet recall.
  b. Talk to the teen about healthy dietary practices.
  c. Reassure the teen she will have a growth spurt soon.
  d. Collaborate with the provider for endocrine testing.

Question 2

A father expresses frustration that his school-aged child is suddenly sick all the time. What action by the nurse is best?
 
  a. Encourage the father to give the child a multivitamin each day.
  b. Explain that illness is frequent in this age group because of exposure to others.
  c. Encourage the father to discuss testing the child's immunity with the provider.
  d. Make sure the parents are washing their hands frequently in the home.

[lgoldst9]

Answer to Question 1

ANS: B
During the adolescent growth spurt, teens achieve approximately 20 to 25 of their final height. This occurs during the time span ending about 2 years after the onset of menses. Since this teen has already reached that mark with little growth, the nurse should assess the teen's knowledge and practice of healthy eating. Poor eating habits are common with this age group. A 24-hour diet recall can be part of this discussion, but should encompass more than just the recall. The teen most likely will not have another growth spurt later. Endocrine testing is not warranted at this point.

Answer to Question 2

ANS: B
Children in this age group tend to have a higher incidence of minor illnesses because of exposure to others. The nurse can reassure the father by explaining this. No other action is needed at this point.

[itsmyluck]

Gracias!

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