The nurse is assessing a 15-year-old female. The girl's menses began when she was 12 years old. The girl's body mass index (BMI) is 27.5 and her height is 5 feet, 2 inches. She weighs 160 pounds. Her school performance has been spotty
The priority client teaching would be related to: 1. Menstrual cycle.
2. Nutritional intake.
3. School performance.
4. Adolescent mini mental health status examination.
2
Rationale 1: The menstrual cycle appears to have started at a normal time, and so it is not the priority.
Rationale 2: The BMI for this client is too high, placing the adolescent at risk for cardiovascular disease, hypertension, and diabetes mellitus in later life. Therefore, nutritional intake is the most important topic to focus on with this client at this time.
Rationale 3: School performance is not as high a priority as the BMI.
Rationale 4: The mental health screening exam is not as high a priority as the BMI.
Global Rationale:
You might also like to view...
The Baldrige National Quality Award (BNQA) establishes a set of performance standards that define a total quality organization. The standards in areas of excellence include (select all that apply):
a. leadership. b. strategic planning. c. environment of care. d. human resource focus. e. medication management.
Which symptom is associated with cluster headache?
A. Ipsilateral tearing of the eye B. Exophthalmos C. Abrupt loss of consciousness D. Neck and shoulder tenderness
Nurses entering into the workforce today are faced with which of the following relationships that could create organizational conflict? (Select all that apply.)
a. Nurse-physician relationship b. Nurse-nurse relationship c. Nurse-patient relationship d. Nurse-chief nursing officer relationship e. Nurse-auxiliary personnel relationships
Which of the following persons would be most likely to experience illness?
a. The young woman who has just passed the National Council Licensure Examination (NCLEX) and is beginning employment b. The middle-aged man who, along with a wife and oldest child, works at a relative's restaurant c. The young woman whose first child has just been enrolled in daycare d. A middle-aged woman who cares for her elderly mother and father in their home when not at work as a receptionist