A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?

Allow the toddler to handle the equipment.

Completely undress the toddler.

Thoroughly explain each procedure to the toddler.

Start the examination with routine immunizations.

Answer and Explanation

The Correct Answer is A

A.   Correct. Allowing the toddler to explore and handle the equipment can help build trust and reduce anxiety during the examination.
B.   Completely undressing the toddler might cause anxiety and discomfort.
C.   Thorough explanations are more suitable for older children, as toddlers might not fully understand.
D.   Starting with immunizations might create anxiety, and it's better to establish rapport before introducing potentially distressing procedures.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

The client likely suffered from intoxication as evidenced by hypokinesia.

Intoxication from substances such as opioids can lead to a range of symptoms including sedation and altered mental status. In this case, the presence of a needle in the antecubital space and the administration of naloxone suggest opioid use.

Hypokinesia, characterized by reduced movement, aligns with the symptoms observed in opioid intoxication, such as decreased responsiveness and drowsiness. The historical pattern of sedation, miosis (constricted pupils), and mood alteration further supports the diagnosis of intoxication as the underlying condition.

A. Measure the client's abdominal girth daily. B. Restrict the client's sodium intake to 3 g per day. C. Keep the client's daily protein intake below 0.8 g/kg. D. Position the client supine with legs elevated.

Correct Answer is A

Explanation

A. Correct. Measuring abdominal girth daily is important to monitor for changes in ascites and fluid retention.
B. Restricting sodium intake is important for clients with ascites to manage fluid retention, but a specific limit of 3 g per day is not universally applicable.
C. Protein intake should not be significantly restricted for clients with ascites; protein is essential for maintaining adequate serum albumin levels.
D. Positioning the client supine with legs elevated might be uncomfortable and not directly related to managing ascites.

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A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client. Exhibits The client likely suffered from dropdown as evidenced by dropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan?

Correct Answer is A

Explanation

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