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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Roseola infantum is a common viral illness in infants and young children, but it is not considered a notifiable infectious disease.
Choice B reason:
Correct. Measles is a notifiable infectious disease. This means that healthcare providers are required to report any diagnosed cases to public health authorities due to its potential for outbreaks.
Choice C reason:
Fifth disease, caused by parvovirus B19, is typically a mild viral illness in children and is not classified as a notifiable infectious disease.
Choice D reason:
Scabies is a parasitic infestation, not an infectious disease. It is caused by the Sarcoptes scabiei mite and is not considered notifiable.
Correct Answer is A
Explanation
Choice A reason:
When suctioning a tracheostomy tube, it's important to limit the suctioning time to 3 to 4 seconds to avoid hypoxia and trauma to the airway.
Choice B reason:
Sterile technique, not clean technique, is used when performing tracheostomy suctioning to prevent infection.
Choice C reason:
The catheter should be sized appropriately for the tracheostomy tube, but it should not fit too snugly to avoid causing trauma to the airway.
Choice D reason:
Instilling saline prior to suctioning is not recommended as it can lead to complications, including aspiration and increased risk of infection.
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