A nurse assessing a 3-year toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider?
Weight 14.5 kg (32 lb)
Respiratory rate 45/min
Blood pressure 90/50 mm Hg
Heart rate 110/min
The Correct Answer is B
A. A weight of 14.5 kg (32 lb) is normal for a 3-year-old.
B. A respiratory rate of 45 breaths per minute is elevated for a 3-year-old, whose normal range is 20-30 breaths per minute.
C. A blood pressure of 90/50 mm Hg is normal for a toddler.
D. A heart rate of 110/min is within the expected range for a 3-year-old.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While methicillin resistance is a concern, it does not pose an immediate threat to the child’s life compared to the risk of sepsis.
B. Redness in the affected area is a typical symptom of cellulitis and, while it should be monitored, it is not the most urgent concern.
C. The risk for recurrence is important for long-term management but is not the primary concern in the acute phase of cellulitis.
D. Sepsis is the most immediate concern in cellulitis because the infection can rapidly spread into the bloodstream, leading to systemic infection and potential life-threatening complications.
Correct Answer is B
Explanation
A. Providing a detailed description of how burns occurred may suggest a plausible explanation, but it does not necessarily indicate abuse.
B. Denying discomfort despite the presence of burns may suggest emotional detachment or an attempt to conceal the severity of the injuries, which can be indicative of abuse.
C. Describing strong relationships with peers is a typical and healthy sign of social development and does not indicate abuse.
D. Reluctance to leave home may suggest anxiety or attachment to family, but it is not necessarily indicative of abuse.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
