During a routine clinic visit, the nurse determines that a 5-year-old girl's systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next?

Refer the child to the healthcare provider and schedule evaluation of blood pressure in two weeks.

Measure the child's blood pressure three times during the visit and determine the highest of the readings.

Conduct a head-to-toe assessment and omit repeated blood pressures during the examination.

Take the blood pressure two more times during the visit and determine the average of the three readings.

Answer and Explanation

The Correct Answer is D

If a child's systolic blood pressure is greater than the 90th percentile during a routine clinic visit, the nurse should take the blood pressure two more times during the visit and determine the average of the three readings. This will provide a more accurate assessment of the child's blood pressure. Referring the child to the healthcare provider and scheduling an evaluation of blood pressure in two weeks

A. may be necessary if the child's blood pressure remains elevated, but it is not the next action that should be taken. Measuring the child's blood pressure three times during the visit and determining the highest of the readings

B. is not recommended because it may overestimate the child's blood pressure. Conducting a head-to-toe assessment and omitting repeated blood pressures during the examination

C. is not appropriate because it does not provide an accurate assessment of the child's blood pressure.

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Correct Answer is A

Explanation

At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for speech and language skills for a 3-year-old child.

A. Sugar cookies. B. Pizza. C. Tacos. D. Chocolate milkshake.

Correct Answer is A

Explanation

The child with gastroesophageal reﬂux should avoid acidic and spicy foods, as well as high-fat and high- sugar foods. Sugar cookies are a low-fat and low-sugar snack, which indicates that the child understands the dietary restrictions. Choices B, C, and D are high in fat, sugar, or acid and may exacerbate gastroesophageal reﬂux symptoms.

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During a routine clinic visit, the nurse determines that a 5-year-old girl's systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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