Exhibits
A nurse is collecting data from a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Teeth
Weight
Speech
Temperature
The Correct Answer is C
A. Teeth: It is typical for infants to start getting their first teeth between 6 and 10 months. The infant in this scenario already has two lower central incisors, which is normal and does not need to be reported.
B. Weight: The infant's weight of 7.26 kg (16 lb) is within the expected range for a 6-month-old. Infants typically double their birth weight by 5 to 6 months of age, and this infant has almost reached that milestone, so the weight is not a concern.
C. Speech: By 6 months, most infants begin to make cooing sounds and may start attempting to imitate speech. That the infant makes cooing sounds but does not attempt to imitate speech is slightly concerning, as by 6 months, some infants are beginning to imitate speech sounds.
D. Temperature: The infant's temperature of 37.1°C (98.8°F) is within the normal range for an infant and does not indicate any issue. There is no need to report this finding to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer the vaccine in the vastus lateralis muscle using a 25-mm (1-in) needle: For infants, the vastus lateralis muscle in the thigh is the preferred site for intramuscular (IM) vaccinations, including the Hib vaccine. A 25-mm (1-in) needle is an appropriate length for this muscle in a 6-month-old infant.
B. Administer the vaccine subcutaneously in the abdomen using a 16-mm (5/8-in) needle: The Hib vaccine is not administered subcutaneously. It is an intramuscular injection, and the abdomen is not the recommended site for this vaccine.
C. Administer the vaccine subcutaneously in the upper arm using a 13-mm (1/2-in) needle: The Hib vaccine is administered intramuscularly, not subcutaneously. The upper arm is used for intramuscular injections in older children. A 13-mm needle is too short for an intramuscular injection in the vastus lateralis.
D. Administer the vaccine in the dorsogluteal muscle using a 51-mm (2-in) needle: The dorsogluteal muscle is not recommended for infants due to the risk of damaging the sciatic nerve. A 2-inch needle is too long for this area in an infant.
Correct Answer is B
Explanation
A. "You should gradually increase lactose products in your diet." For adolescents with lactose intolerance, gradually increasing lactose products may worsen symptoms. The goal is to reduce or avoid lactose-containing foods to prevent discomfort.
B. "You should drink rice milk instead of cow's milk." Rice milk is lactose-free and can be a suitable alternative to cow's milk for someone with lactose intolerance. It is an appropriate recommendation for managing the condition.
C. "You should limit your intake of calcium-fortified orange juice." Calcium-fortified orange juice is a good source of calcium, and it can be consumed without concern for lactose intolerance. It can help provide calcium, especially if dairy intake is limited.
D. "You should eat flavored yogurt instead of plain yogurt." Flavored yogurt may contain added sugar and artificial ingredients, which are not necessarily better than plain yogurt. Plain yogurt can be easier to digest.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.