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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.)

Obtain the infant's weight with their diaper on.

Place a stadiometer on the top of the infant's head to measure their length.

Ensure the scale is balanced to "0" before weighing the infant.

Cover the scale with a clean sheet of paper..

Measure the infant's length from the crown of the head to the heels of the feet.

Answer and Explanation

Correct Answer : C,D,E

Choice A reason:

Obtaining the infant's weight with their diaper on should be avoided as this can alter the result.

Choice B reason:

Placing a stadiometer on the top of the infant's head to measure their length can harm or distress the infant.

Choice C reason:

Ensuring the scale is at 0 is important in obtaining an accurate weight Choice D reason:

Covering the scale with paper is recommended for hygiene purposes

Choice E reason:

This method provides an accurate measurement of the infant's length.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason:

Tinnitus - Tinnitus (ringing in the ears) is not typically associated with bacterial meningitis. The focus is on central nervous system symptoms and signs of meningeal irritation.

Choice B reason:

Negative Kernig sign - This is a classic sign of meningeal irritation. In bacterial meningitis, the Kernig sign will be positive, indicating resistance and pain upon extension of the knee after flexing the hip.

Choice C reason:

Vomiting - Nausea and vomiting are common symptoms of bacterial meningitis. They are caused by increased intracranial pressure and meningeal irritation.

Choice D reason:

Headache - Headache is a common symptom of bacterial meningitis, often severe and accompanied by other signs of meningeal irritation.

Choice E reason:

Seizures - Seizures can occur in bacterial meningitis due to the inflammation and irritation of the brain.

A. Speaks four words B. Builds a tower of three blocks C. Has temper tantrums D. Jumps in place with both feet

Correct Answer is A

Explanation

Choice A reason:

At 18 months, a toddler should typically be saying more than four words. This finding may

indicate a potential delay in speech development, and it should be reported to the provider for further evaluation.

Choice B reason:

Building a tower of three blocks is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

Choice C reason:

Temper tantrums are a normal behavior for toddlers, as they are still developing emotional regulation skills. This finding does not require reporting unless it is severe or causing harm to the child.

Choice D reason:

Jumping in place with both feet is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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Correct Answer is A

Explanation

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