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","B","D"]

Explanation

A. Covering the scale with a clean sheet of paper is unnecessary and does not affect the accuracy of the weight or length measurement.
B. Measuring the infant's length from the crown of the head to the heels of the feet is the correct method for obtaining length measurements in infants.
C. Placing a stadiometer on the top of the infant's head is incorrect; the measurement should be taken from head to heel.
D. Ensuring the scale is balanced to "0" before weighing the infant is essential for obtaining an accurate weight measurement.
E. Obtaining the infant's weight with their diaper on may add unnecessary weight, potentially affecting the accuracy of the weight measurement.

A. "I will make sure my child's arm doesn't hang down for more than 30 minutes." B. "It is okay to submerge the cast for 5 minutes during my child's bath time." C. "I will ensure my child avoids moving their fingers while the cast is in place." D. "It is okay to use a pencil to scratch inside my child's cast."

Correct Answer is A

Explanation

A. Ensuring the child’s arm doesn’t hang down for extended periods can help prevent swelling and discomfort.
B. Submerging a fiberglass cast can damage the material and is not recommended.
C. It is important to encourage the child to move their fingers to maintain circulation and prevent stiffness.
D. Using a pencil to scratch inside the cast can cause injury or damage to the skin and should be avoided.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well-child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is A

Explanation

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