A nurse is collecting data from a 4-year-old child. Which of the following findings should the nurse expect?
Heart rate 110/min
Capillary refill greater than 3 seconds
Weight gain of 0.9 kg (2 lb) in a year
Respiratory rate 32/min
The Correct Answer is A
A. Heart rate 110/min: A heart rate of 110 beats per minute is within the normal range for a 4-year-old child. The typical heart rate for this age is between 80 to 120 beats per minute.
B. Capillary refill greater than 3 seconds: Capillary refill time should be less than 2 seconds in a healthy child. A refill time greater than 3 seconds may indicate poor perfusion or dehydration, which is abnormal.
C. Weight gain of 0.9 kg (2 lb) in a year: A weight gain of 2 pounds in a year is below the expected range for a 4-year-old. Children in this age group typically gain around 4-5 pounds per year as they grow.
D. Respiratory rate 32/min: The normal respiratory rate for a 4-year-old child is typically between 20 to 30 breaths per minute. A rate of 32/min is slightly elevated and may indicate respiratory distress or other issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You will need to take the entire prescription of antibiotics even if your symptoms improve." Atopic dermatitis is typically not treated with antibiotics unless there is a secondary bacterial infection. The standard treatment usually involves topical corticosteroids and emollients.
B. "The doctor will remove the lesions with liquid nitrogen." This is incorrect as liquid nitrogen is used for treating warts and certain types of skin lesions, not atopic dermatitis.
C. "The doctor might recommend an antihistamine to help control your symptoms." This is a correct statement. Antihistamines can help reduce itching and provide relief, which is a common symptom of atopic dermatitis.
D. "You can relieve your child's discomfort by applying warm compresses to the lesions." Warm compresses are not typically recommended for atopic dermatitis. Cool compresses or baths are more beneficial to reduce itching and inflammation.
Correct Answer is A
Explanation
A. Modeling clay: Correct. This is appropriate for a 4-year-old, helping with fine motor skills and creativity.
B. Brightly-colored mobile: Incorrect. More suitable for infants who are visually stimulated by simple, moving objects.
C. 100-piece jigsaw puzzle: Incorrect. Too complex for a 4-year-old; age-appropriate puzzles typically have fewer pieces.
D. Checkerboard and checkers: Incorrect. This is better suited for older children who understand rules and strategies.
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