A nurse is monitoring the vital signs of a 6-year-old child following a surgical procedure. Which of the following findings should the nurse report to the provider?

Axillary temperature 37.3° C (99.1° F)

Respiratory rate 24/min

Heart rate 59/min

Blood pressure 96/58 mm Hg

Answer and Explanation

The Correct Answer is C

A. An axillary temperature of 37.3° C (99.1° F) is within the normal range for a child and does not need to be reported.
B. A respiratory rate of 24/min is within the normal range for a 6-year-old child and does not need to be reported.
C. A heart rate of 59/min is slightly below the normal range for a 6-year-old and should be reported to the provider.
D. A blood pressure of 96/58 mm Hg is within the normal range for a 6-year-old child and does not need to be reported.

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Correct Answer is A

Explanation

A. Driving skills can be impaired when friends are present due to distractions, which increases the risk of accidents and should be emphasized in safety teaching.
B. Sun protection is necessary even when using self-tanning creams, as they do not provide UV protection.
C. Medroxyprogesterone does not provide protection against gonorrhea or any other sexually transmitted infections; it is a contraceptive.
D. The risk of injury from firearms can actually increase during adolescence due to risk-taking behaviors and access to firearms.

A. "It is not your fault that this happened." B. "You should have told someone about this sooner." C. "I promise I won't tell anyone about this." D. "This should not have happened to you."

Correct Answer is A

Explanation

A. This statement reassures the child that they are not to blame for the maltreatment and supports their emotional well-being.
B. This statement could make the child feel guilty and is not supportive.
C. The nurse cannot promise confidentiality in cases of suspected abuse, as reporting is mandatory.
D. While this statement is supportive, it does not directly address the child's potential feelings of guilt or self-blame.

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A nurse is monitoring the vital signs of a 6-year-old child following a surgical procedure. Which of the following findings should the nurse report to the provider?

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