A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?
"I am going to listen to your heart."
"Can I listen to your lungs?"
"I am going to take your blood pressure now."
"Can you stand very still while I feel how warm you are?"
The Correct Answer is A
A. “I am going to listen to your heart.”: This is the correct answer. It is a clear, simple statement that informs the child about what is going to happen. It is important to use language that is appropriate for the child’s age and development.
B. “Can I listen to your lungs?”: While this is a polite way to ask for consent, it might confuse a toddler who may not understand what “lungs” are.
C. “I am going to take your blood pressure now.”: This statement might be too complex for a toddler to understand. It’s better to use simpler language.
D. “Can you stand very still while I feel how warm you are?”: This statement might be confusing for a toddler. It’s better to use clear and direct language.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give the child syrup of ipecac: This is not recommended. Syrup of ipecac was once used to induce vomiting in cases of poisoning, but it is no longer recommended due to potential complications and lack of effectiveness.
B. Contact the poison control center: This is the correct action. If a child ingests a potentially harmful substance, the first step should always be to contact the poison control center. They can provide immediate advice and guide further actions based on the specific substance ingested.
C. Provide a high-carbohydrate meal: This is not typically recommended in cases of potential poisoning. It’s important to get professional advice before giving anything to eat or drink.
D. Bring the child to the office for a rapid infusion of deferoxamine: Deferoxamine is used to treat iron poisoning, but it should only be administered under medical supervision in a healthcare setting. It’s not the first step to take in this situation.
Correct Answer is B
Explanation
Place the infant on his right side: This position is not typically recommended for infants with gastroesophageal reflux as it does not help to keep the stomach contents down.
B. Place the infant in an infant seat: This is the correct answer. Keeping the infant in an upright position after feedings can help prevent reflux by using gravity to keep the stomach contents down.
C. Place the infant in a prone position: This position is not typically recommended for infants, especially after feedings, as it can increase the risk of sudden infant death syndrome (SIDS).
D. Place the infant on his left side: While this position can help with digestion, it’s not typically recommended for infants with gastroesophageal reflux as it does not help to keep the stomach contents down
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