The nurse has reviewed the Nurses' Notes at 1010.
Exhibit 1. Nurses' Notes.
Today, 1000: Exhibit 2. Infant here at the provider's office for a scheduled visit.
The infant is in their parent's arms, grimacing.
Exhibit 3. S1 and S2 auscultated, no murmur noted.
Respirations are symmetric and unlabored with abdominal movement.
Abdomen is soft and flat, bowel sounds present.
Current weight is 4.1 kg (9 lb) The parent states they have exclusively breast- and bottle-fed breastmilk to the infant since birth.
The parent states the infant sometimes chokes with bottle feedings.
The parent noticed that the infant recently started "spitting up" during the night and after feeds, and cries excessively.
They state the infant has been vomiting more forcefully and has become disinterested in feeding.
Today, 1010: Provider assessed infant and discussed gastroesophageal reflux with parent.
Education provided.
Select the 3 statements the nurse should include in the teaching.

Choice A rationale:

"Consume 1,500 to 1,700 calories per day." This statement provides a specific calorie range suitable for most adolescents. It ensures they receive adequate energy to support their growth and daily activities. Adequate caloric intake is essential during adolescence to support proper physical and mental development.

Choice B rationale:

"Decrease your vitamin D intake once you start to menstruate." Menstruation does not affect the need for vitamin D intake. In fact, vitamin D is crucial for bone health, especially during adolescence when bones are still developing. Adolescents, including females, should maintain an appropriate level of vitamin D intake to support bone health and overall well-being.

Choice C rationale:

"Increase the amount of your dietary iron intake." During adolescence, especially for females, iron requirements increase due to menstrual losses. Iron is essential for the production of red blood cells and to prevent anemia. Adolescents, particularly females, should be educated about the importance of including iron-rich foods in their diet to meet their increased nutritional needs.

Choice D rationale:

"Limit your sodium intake to 3,000 milligrams per day." While limiting sodium intake is generally advisable for overall health, this statement does not specifically address the nutritional needs of adolescents. Adolescents need guidance on various aspects of nutrition, but limiting sodium intake should be part of a broader discussion about a balanced diet, rather than a singular focus during this educational session.

Choice A rationale:

Contacting the client's parents for phone consent might breach the adolescent's confidentiality, especially if they are seeking STI testing. In many jurisdictions, adolescents have the right to confidential healthcare, including STI testing and treatment, without parental consent. Respecting the adolescent's autonomy and confidentiality is crucial in this situation.

Choice B rationale:

Obtaining written consent from the client, if they are of legal age (which is often 16 or older in many jurisdictions), is appropriate and respects the adolescent's autonomy and legal rights. Written consent ensures that the adolescent fully understands the tests being conducted and gives informed consent for the procedure.

Choice C rationale:

Requesting verbal consent from the social worker is not appropriate. Verbal consent can be ambiguous and may not provide sufficient legal documentation of informed consent, especially for sensitive procedures like STI testing.

Choice D rationale:

Postponing the testing until the client's parents are present might not be in the best interest of the adolescent, especially if they are seeking timely healthcare. Delays in testing and treatment could lead to complications or the spread of STIs. Respecting the adolescent's autonomy and providing appropriate, timely care is essential in this situation.