A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

"At 6 months, his weight should be approximately three times his birth weight."

"Each child gains weight at his or her own pace."

"At 6 months, a child should weigh about 10 lb more than his or her birth weight."

"At 6 months, his weight should be approximately twice his birth weight."

Answer and Explanation

The Correct Answer is D

Choice A reason: By around 12 months, infants typically triple their birth weight, but that milestone isn't expected at 6 months. Therefore, telling the mother three times birth weight at this age would be inaccurate and misleading.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: Evidence-based pediatric growth milestones state that by 6 months, an infant’s weight typically doubles from birth weight. This aligns with widely accepted developmental guidelines and is the most accurate and reassuring response to the mother’s question.

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Correct Answer is C

Explanation

Choice A reason: Limited eye movement is not typically associated with open-angle glaucoma, which primarily affects peripheral vision.
Choice B reason: Photosensitivity can be a symptom of various eye conditions but is not the primary issue in open-angle glaucoma.
Choice C reason: This is the correct choice. Open-angle glaucoma is characterized by the gradual loss of peripheral vision, which can lead to tunnel vision if untreated.
Choice D reason: Blurred distance vision can occur in many eye conditions but is not specific to open-angle glaucoma.

A. Ask the client to choose which medication is needed for the pain. B. Document the client's report of pain in the electronic medical record. C. Compare the client's pain scale rating with the prescribed dosing. D. Determine which prescription will have the quickest onset of action.

Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

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A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When planning care for a client newly diagnosed with open-angle glaucoma, the nurse identifies a priority nursing problem of visual sensory-perceptual alterations. This problem is based on which etiology?

Correct Answer is C

Explanation

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is D

Explanation

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