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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?

A.

"I am going to listen to your heart."

B.

"Can I listen to your lungs?"

C.

"I am going to take your blood pressure now."

D.

"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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Related Questions

Correct Answer is C

Explanation

A. Inspect any dogs or cats at home for lice: This is not necessary because human lice cannot infest pets.
B. Soak all combs and hairbrushes in alcohol: While cleaning combs and brushes is important, soaking them in hot water is usually sufficient. Alcohol is not necessary and can damage some materials.
C. Seal non-washable items in airtight plastic bags: This is the correct answer. Lice cannot survive without a human host for more than 48 hours. Sealing non-washable items (like stuffed animals) in airtight bags for at least two weeks can help ensure any lice or nits are dead.
D. Spray countertops and sinks with insecticide: This is not recommended. Lice do not infest homes like other pests, and insecticides can be harmful to humans, especially children. Regular cleaning is usually sufficient.

Correct Answer is A

Explanation

A. Influenza, live attenuated (LAIV): This is the correct answer. The production of this vaccine involves the use of chicken eggs, and it may contain traces of egg protein. Therefore, it should be avoided in individuals with a severe egg allergy.
B. Haemophilus influenza type b (Hib): This vaccine is not contraindicated for individuals with an egg allergy as it does not contain egg protein.
C. Hepatitis B (HepB): This vaccine is safe for individuals with an egg allergy as it does not contain egg protein.
D. Inactivated poliovirus (IPV): This vaccine is not contraindicated for individuals with an egg allergy as it does not contain egg protein.

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