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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. “Burp your baby more frequently during feedings”: While burping can help with minor feeding issues, it’s unlikely to resolve the issue of projectile vomiting after eating.
B. “Try switching to a different formula”: While this might be an option in some cases, it’s not the first step to take. Projectile vomiting can be a sign of a more serious condition, such as pyloric stenosis, which needs medical attention.
C. “Give your infant an oral rehydration solution”: While rehydration is important, especially if the baby is vomiting, it doesn’t address the underlying issue causing the vomiting.
D. “Bring your baby in to the clinic today”: This is the correct action. Projectile vomiting in an infant, especially when combined with increased hunger, is a concern and should be evaluated by a healthcare professional as soon as possible
Correct Answer is C
Explanation
A. “I can fit my hand between the baby and the car seat harness.”: This indicates that the harness is too loose. A properly adjusted harness should be snug, with no slack allowing a hand to fit between the baby and the harness.
B. “Our car seat is front-facing in the back seat.”: For a 6-month-old infant, the car seat should be rear-facing, not front-facing. The American Academy of Pediatrics recommends that children remain rear-facing as long as possible, at least until they reach the highest weight or height allowed by their car safety seat’s manufacturer.
C. “Our car seat is an infant model and is anchored in the car.”: This is the correct answer. An infant car seat should be properly anchored in the car for safety.
D. “The car seat is rear-facing in the front passenger seat.”: It’s not safe to place a rear-facing car seat in the front seat of a vehicle. In the event of an accident, airbags can injure or kill a child in a rear-facing car seat. The safest place for a child’s car seat is in the back seat of the vehicle.
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.