A mother brings her 3-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child'stemperature, which method would be least appropriate?

A. "Maintain a firm set of rules."

While having rules is important, maintaining a rigid approach without considering the adolescent's perspective can lead to conflict and resistance. Adolescents often appreciate having a voice and being heard.

B. Try to be open to his views."

This option acknowledges the importance of valuing the adolescent's opinions and perspectives. Encouraging open communication fosters trust and mutual respect between parents and their adolescent children.

C. "Remind him that he is still your little boy."

Using this approach may unintentionally undermine the adolescent's growing sense of

independence and identity. It's essential to recognize and respect their transition into young adulthood.

D. "Find out if his friends are worthy of him."

While it's important to be aware of the adolescent's social circle, framing it in terms of the

friends being "worthy" may come across as judgmental. It's more effective to focus on fostering healthy relationships and providing guidance on making positive social choices.

A. Pulse rate is increased.

While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.

B. Breathing is diaphragmatic.

As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.

C. Secondary sex characteristics are present.

The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.

D. Blood pressure has reached adult level.

Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.