Inyourroleasaschoolnurse,youareworkingwithafemalehighschooljuniorwhoseBMIis31.When planningthisgirlscare,youshouldidentifywhatgoal? g

Correct Answer: B

Rationale: Step 1: BMI of 31 indicates obesity in the high school junior. Step 2: Increasing exercise and reducing calorie intake are key to weight loss. Step 3: Goal should be to promote a healthy weight through lifestyle changes. Step 4: Choice B aligns with evidence-based approach for managing obesity. Summary: A (continuation of current diet and activity level) does not address the need for weight loss. C (referral to an eating disorder clinic) is not warranted based on the information provided. D (increase in daily calorie intake) would be counterproductive for weight loss in this case.

Correct Answer: D

Rationale: Rationale: 1. Older adults typically have a slower metabolism, leading to a decreased need for calories. 2. As people age, their activity levels often decrease, further reducing calorie requirements. 3. Adequate calorie intake is still important for maintaining energy and overall health in older adults. Summary: A: Older adults actually have an increased need for calcium to support bone health. B: Glucose needs may decrease due to potential insulin resistance in older age. C: Older adults should be cautious of sodium intake due to increased risk of hypertension and other health issues.

Correct Answer: B

Rationale: The correct answer is B because it directly asks about the types of foods served in the patient's cultural practices and how they are prepared. This question helps understand the patient's dietary habits, which are crucial in managing type 2 diabetes. Option A is incorrect as it focuses on the patient's perception of their cultural practices, not specifically on food and diabetes. Option C is incorrect as it asks the patient to teach about their practices rather than focusing on food preferences. Option D is incorrect as it does not address the preparation methods of foods or their cultural significance, which are important in understanding dietary impacts on diabetes.

Correct Answer: A

Rationale: The correct answer is A because a comprehensive genetic-specific assessment should include a complete health history to identify any genetic predispositions, a genogram to visualize the family history of heart attacks, and any history of cholesterol testing to assess cardiovascular risk factors. Additionally, a complete physical exam is essential to identify any current physical indications of potential heart issues. Choice B is incorrect because a limited health history would not provide enough information to assess genetic risks thoroughly. Choice C is incorrect because safety-related education is not the primary focus of a genetic-specific assessment. Choice D is incorrect because focusing only on the paternal family may overlook important genetic information from the maternal side.

Correct Answer: D

Rationale: The correct answer is D: Perform auscultation with the diaphragm placed firmly on her skin to minimize extraneous noise. This is the best nursing action because placing the diaphragm firmly on the skin allows for clear and accurate listening of heart and lung sounds without interference from clothing or external noises. By ensuring direct skin contact, the nurse can accurately assess the adolescent's cardiovascular and respiratory status. Choice A is incorrect because listening through clothing can muffle or distort sounds, leading to inaccurate assessment. Choice B is incorrect as holding the diaphragm lightly on clothing can also lead to poor sound transmission and hinder proper assessment. Choice C is an incomplete option. In summary, the correct answer, D, promotes accurate assessment by minimizing extraneous noise and ensuring optimal contact for clear auscultation of heart and lung sounds. Choices A, B, and C are incorrect as they may compromise the accuracy of the assessment by introducing interference and reducing clarity of the sounds.