In preparation for a sport's physical examination, the nurse is assessing the height of a 16-year-old male client. The client measures 5?5?. The client voices concerns about his lack of stature. He asks if he has reached his full height
Which of the responses by the nurse is most appropriate? 1. "By age 16, you are finished growing."
2. "Is your father very tall?"
3. "Why do you hope to grow taller?"
4. "You may continue to grow into your early 20s."
4
Rationale 1: On average, the fastest rate of growth in adolescent males occurs at about age 14 and continues for 24–30 months. After that time, growth continues but at a slower rate.
Rationale 2: Although a child's height may relate to that of the parents, this statement does not respond to the client's question.
Rationale 3: Asking the teen about his motivation to grow taller does not respond to his question.
Rationale 4: Skeletal growth may continue until age 25, when the epiphyses of the long bones are finally fused.
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