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?"

Answer and Explanation

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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Correct Answer is D

Explanation

A. Cranberry juice: This is generally safe to consume after a tonsillectomy. It is not acidic and will not irritate the throat.
B. Crushed ice: This can be soothing for the throat after a tonsillectomy and can help reduce swelling.
C. Vanilla milkshake: While dairy products can sometimes cause phlegm to thicken, making it harder to swallow, they are generally considered safe after a tonsillectomy unless the child has a known dairy allergy or intolerance.
D. Orange juice: This is the correct answer. Orange juice is acidic and can irritate the throat after a tonsillectomy, so it should be avoided.

A. Pruritus of the scalp B. Blisters on the scalp C. Bald patches on the scalp D. Dry patches on the scalp

Correct Answer is A

Explanation

Pruritus of the scalp: This is the correct answer. Pruritus, or itching, of the scalp is a common symptom of pediculosis capitis, also known as head lice.
B. Blisters on the scalp: While blisters can occur with various scalp conditions, they are not typically associated with pediculosis capitis.
C. Bald patches on the scalp: Bald patches can be a sign of conditions like alopecia areata or tinea capitis, but they are not typically associated with pediculosis capitis.
D. Dry patches on the scalp: Dry patches can be a sign of conditions like seborrheic dermatitis or psoriasis, but they are not typically associated with pediculosis capitis.

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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?

Nursing Test Bank

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