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 C
Explanation
A. Cleansing the surgical site is not typically recommended as it can interfere with healing and cause trauma to the area. The surgical site should be kept clean and dry according to the surgeon's instructions.
B. Placing the infant in a supine position is not recommended as it can increase the risk of aspiration and disrupt the surgical site. Positioning should be done to protect the surgical repair.
C. Applying elbow immobilizers to both arms prevents the infant from touching or putting their hands in their mouth, which helps to protect the surgical site from injury and allows it to heal properly.
D. Offering a pacifier with glucose syrup is not appropriate as sucking on a pacifier can disrupt the surgical site and glucose syrup is not necessary in this situation.
Correct Answer is B
Explanation
A. A urine collection device is not appropriate for collecting stool specimens. It is designed for urine collection, not stool.
B. This method is suitable for collecting a stool specimen for the purpose of checking for ova and parasites if a stool sample is not immediately available. It helps ensure that the sample is collected directly from the rectal area.
C. Povidone-iodine (Betadine) can interfere with the results of ova and parasite testing. It is not appropriate to use it for transferring or handling stool specimens.
D. Stool specimens for ova and parasites should ideally be kept cool and sent to the lab as soon as possible. Room temperature storage can affect the integrity of the specimen and impact the accuracy of the test.
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