The nurse is caring for a 16-year-old male. While the nurse is providing care, the client expresses sadness because he didn't make the basketball team like his brother, because he is too short
Which of the following responses demonstrates that the nurse understands normal growth? 1. "Height is genetic but growth rates can vary. Full height might not be reached until you are 20."
2. "Height is genetic but some children are smaller than others, and full height should be reached by age 16."
3. "You require serum growth hormone levels to assess for inadequate production."
4. "You should participate in a sport better suited to shorter people."
1
Rationale: Males typically do not gain their full height until later in adolescence, and sometimes as late as 20. The adolescent should be told that height is genetic, so it is likely that he has not finished growing yet. There is no need to assess for inadequate growth hormone production, and the child should be given hope that he might experience a growth spurt over the next few years, with increased chance of full height attainment with proper nutrition.
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