A nurse is assessing a 2-year-old toddler. Which of the following findings should the nurse expect?

Natural loss of deciduous teeth

Nontender, protruding abdomen

Palpable fontanels

Head circumference exceeds chest circumference

Answer and Explanation

The Correct Answer is B

A.   Incorrect. The natural loss of deciduous (baby) teeth typically begins around 6 years of age, not at 2 years old.
B.   Correct. Toddlers often have a nontender, protruding abdomen due to their underdeveloped abdominal muscles.
C.   Incorrect. The fontanels (soft spots on the baby's head) should be closed by 18-24 months of age. Palpable fontanels at 2 years old could indicate abnormal cranial development.
D.   Incorrect. It is not typical for a 2-year-old's head circumference to exceed their chest circumference. Head circumference is usually greater in infants but gradually becomes similar to chest circumference by 1-2 years of age.

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Correct Answer is C

Explanation

A. Constipation is a potential side effect of morphine, but it is not the priority concern in this scenario.
B. Euphoria is a potential side effect of morphine but is not as immediately concerning as bradypnea.
C. Correct. Bradypnea (slow breathing) is a potential adverse effect of morphine and can lead to respiratory depression, which is a serious concern.
D. Sedation is an expected side effect of morphine, but the priority concern is the possibility of respiratory depression.

A. Suggest rinsing his mouth with an alcohol-based mouthwash. B. Provide humidification of the room air. C. Offer the client saltine crackers between meals. D. Instruct the client on the use of esophageal speech.

Correct Answer is B

Explanation

A. Alcohol-based mouthwashes can exacerbate dry mouth (xerostomia) and should be avoided.
B. Correct. Providing humidification of the room air can help alleviate the symptoms of xerostomia.
C. Saltine crackers may not significantly help with xerostomia.
D. Esophageal speech is unrelated to xerostomia.

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A nurse is assessing a 2-year-old toddler. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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