Which of the following clients is most likely to be experiencing a positive nitrogen balance?
1. A 23-year-old college student studying chemistry
2. A 13-year-old girl who figure skates
3. An elderly female with a small decubitus on her left heel
4. A middle-aged male who had open heart surgery two days ago
2
Rationale: A positive nitrogen balance exists when nitrogen intake exceeds losses. A growing, active adolescent is likely to have a positive nitrogen balance to meet rapid growth and development needs. A college student is likely to have nitrogen equilibrium since nitrogen is no longer needed for rapid growth and development. The adults who have significant health problems are in a state of negative nitrogen balance.
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