The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). Nursing care should include which of the following?

The scenario describes a 14-year-old male who seems to be always eating, but his weight is appropriate for his height. In this case, it is important to reassure the parents that the behaviour may not necessarily be a cause for concern.

Option A provides an accurate response by explaining that for weight gain to occur, the individual would need to consume an excessive number of calories. Since the adolescent's weight is appropriate for his height, it suggests that his caloric intake is likely balanced and not excessive.

suggesting that he is substituting food for unfilled needs in (option B) is incorrect because it, is speculative and may not be accurate without further assessment or evidence. It is important to avoid making assumptions about underlying psychological or emotional reasons for increased eating without more information.

stating that this is normal due to an increase in body mass during this time in (option C) is incorrect because it, is not necessarily applicable to the scenario. While it is true that adolescents experience growth and changes in body composition during this period, it does not directly explain the constant eating behaviour described.

suggesting that this behaviour is abnormal and indicative of possible future obesity in (option D) is incorrect because it, may be premature and unsupported based solely on the information provided. It is essential to avoid making predictions or assumptions about future health outcomes without proper evaluation.

By providing the parents with information about the caloric intake required for weight gain and reassuring them that their son's eating behaviour may be within a normal range, the nurse can address their concerns and provide accurate guidance. If the parents have further concerned or questions, it may be appropriate to refer them to a healthcare provider for a more comprehensive assessment.

During adolescence, there is a period of rapid physical growth and development. This growth spurt requires additional energy and resources from the body, which can lead to increased fatigue and a heightened need for sleep. The body utilizes sleep as a time for rest, repair, and growth, and during this growth phase, the demand for restorative sleep tends to increase.

decreased activity in (option B) is incorrect because it, does not necessarily contribute to an increased need for sleep. While decreased activity may result in less fatigue and the perception of needing less sleep, it is not a predisposing factor for feeling an increased need for sleep.

typical lack of ambition in (option C) is incorrect because it, is not associated with an increased need for sleep. Lack of ambition refers to a lack of motivation or drive, which is not directly related to the physiological need for sleep.

an inadequate diet in (option D) is incorrect because it, can affect overall health and well- being, but it is not specifically associated with an increased need for sleep. However, a well- balanced and nutritious diet can support healthy growth and development, including adequate sleep patterns.