The caregiver of an adolescent remarks to the nurse that her child seems to have fatigue and not get enough oxygen. The physical examination and other tests are normal. Which of the following explanations by the nurse will be most helpful?

a. "The tests may have missed a cardiac or respiratory problem and the health care practitioner will probably want to repeat them later."
b. "As the heart becomes larger in adolescence, the pumping mechanism is somewhat inefficient for a while and the lungs have not yet fully matured."
c. "Adolescents fake tiredness to get out of doing chores or associating with people they consider to be boring."
d. "I suggest you take him to one of the better and larger clinics there they have more sophisticated equipment."


B

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A Incorrect. The nurse not will best explain the reported fatigue and lack of oxygen by saying: "The tests may have missed a cardiac or respiratory problem and the health care practitioner will probably want to repeat them later."
B Correct. The nurse will best explain the reported fatigue and lack of oxygen by saying: "As the heart becomes larger in adolescence, the pumping mechanism is somewhat inefficient for a while and the lungs have not yet fully matured."
C Incorrect. The nurse not will best explain the reported fatigue and lack of oxygen by saying: "Adolescents fake tiredness to get out of doing chores or associating with people they consider to be boring."
D Incorrect. The nurse not will best explain the reported fatigue and lack of oxygen by saying: "I suggest you take him to one of the better and larger clinics there they have more sophisticated equipment."

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