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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A slight fever is not typically expected after a lumbar puncture and could indicate an infection or other complication that needs to be addressed.
B. It is important to keep the child's head flat for several hours after the procedure to prevent post-lumbar puncture headaches and other complications.
C. Increasing fluid intake is encouraged after a lumbar puncture to help prevent headaches and promote recovery. Fluid restriction is not indicated.
D. Numbness in the legs is not a common side effect of a lumbar puncture. Any numbness or neurological changes should be reported immediately as they could indicate a complication.
Correct Answer is C
Explanation
A. Drawing a blood culture is not indicated for suspected Clostridium difficile, as it is a gastrointestinal infection.
B. A stool specimen for occult blood is not specific for diagnosing Clostridium difficile.
C. Obtaining a stool specimen for culture is the appropriate action to diagnose Clostridium difficile, as it will identify the presence of the bacteria.
D. A tape test is used to detect pinworms, not Clostridium difficile.
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