A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

Remove the toddler's outer clothing.

Discourage the toddler from sitting in the parent's lap.

Allow the toddler to inspect the stethoscope.

Perform traumatic procedures first.

Answer and Explanation

The Correct Answer is C

A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.

B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.

C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.

D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.

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Correct Answer is B

Explanation

A. Facial edema is not typically associated with a urinary tract infection (UTI). Edema may be seen in other conditions, such as nephrotic syndrome.

B. An increased temperature (fever) is a common manifestation of a UTI. The body responds to the infection with an elevated temperature as part of the immune response.

C. Moist mucus membranes are a sign of adequate hydration and are not specifically related to a UTI.

D. Muscle twitching is not a common sign of a UTI. It could be related to electrolyte imbalances or neurological issues, but it is not typical for UTIs.

A. Place the child in prone position to expose the posterior iliac crest. B. Position the child side-lying to expose the vertebrae. C. Place the child supine with legs flexed outward into a frog-like position. D. Position the child sitting with their buttocks at the edge of the table.

Correct Answer is A

Explanation

A. The posterior iliac crest is the typical site for bone marrow aspiration in children. Placing the child in the prone position allows for proper access to the site while ensuring the child remains safe and stable during the procedure.

B. Positioning the child side-lying would expose the vertebrae but is not an optimal position for accessing the iliac crest for bone marrow aspiration.

C. The frog-like position (supine with legs flexed outward) is not an appropriate position for a bone marrow aspiration, as it does not provide the best access to the iliac crest or posterior iliac crest.

D. Sitting with the buttocks at the edge of the table would not adequately expose the posterior iliac crest, making it unsuitable for bone marrow aspiration.

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A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

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