The nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. What should be a priority focus of this guidance?

Maximizing learning potential

Reducing risk-taking behavior

Promoting adequate physical growth

Teaching personal hygiene routines

Answer and Explanation

The Correct Answer is B

A. Maximizing learning potential: While education is important during adolescence, the priority focus of guidance regarding healthy lifestyles typically centers around behaviors that directly

impact physical and emotional well-being.

B. Reducing risk-taking behavior: Adolescents are prone to engaging in risky behaviors such as substance use, unsafe sexual practices, and reckless driving. Guidance should emphasize

strategies to reduce these behaviors and promote safer choices.

C. Promoting adequate physical growth: Physical growth is largely determined by genetics and occurs earlier in life. While maintaining overall health, including physical activity and nutrition, is important during adolescence, it is not typically the primary focus of guidance regarding

healthy lifestyles at this stage.

D. Teaching personal hygiene routines: Personal hygiene is important for overall health, but it is just one aspect of a healthy lifestyle. While adolescents should be encouraged to practice good hygiene habits, guidance should encompass a broader range of behaviors that contribute to overall well-being, including mental health and risk reduction.

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Correct Answer is A

Explanation

A. Body weight: Body weight is the most reliable indicator of fluid loss, as changes in weight directly reflect changes in fluid balance. Monitoring weight is essential for assessing dehydration and guiding fluid replacement therapy.

B. Skin integrity: While changes in skin turgor and skin integrity can be indicators of

dehydration, they are less reliable in infants, especially if they have certain skin conditions or are very young.

C. Respiratory ratE. Although increased respiratory rate can occur as a compensatory mechanism for metabolic acidosis associated with dehydration, it is not as reliable as changes in body weight for assessing fluid loss.

D. Blood pressurE. While blood pressure may be affected by severe dehydration, it is not as sensitive or practical as monitoring body weight for assessing fluid loss in infants.

A. "This is normal behavior for infants unless the stool passed is black or green." B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system." C. "This is normal behavior for infants unless the stool passed is hard and dry." D. "This indicates a blockage in the intestine and must be reported to the health care provider."

Correct Answer is B

Explanation

A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.

B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.

C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.

D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.

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The nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. What should be a priority focus of this guidance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Correct Answer is A

Explanation

A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

Correct Answer is B

Explanation

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