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 B

Explanation

A. Antibiotics are not effective against influenza, which is a viral infection. Antiviral medications may be used if prescribed.
B. Implementing droplet precautions helps to prevent the spread of the influenza virus, which is transmitted through respiratory droplets.
C. Chest physiotherapy is not typically indicated for influenza unless there are complications like pneumonia that require it.
D. Gamma globulin is not used for treating influenza type B. Antiviral medications and supportive care are the standard treatments.

A. Withdrawn B. Destructive C. Perfectionistic D. Manipulative

Correct Answer is A

Explanation

A. Withdrawal can be a sign of trauma or distress, including sexual abuse.
B. While destructive behavior can be a reaction to various stressors, it is less specific to sexual abuse.
C. Perfectionistic behavior may be seen in children dealing with various pressures but is not specifically indicative of sexual abuse.
D. Manipulative behavior can be a response to different environmental factors and is not specifically indicative of sexual abuse.

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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

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