The nurse is assessing a 1-year-old infant in the pediatric office.
What finding should the nurse report to the physician immediately?
Fussy behavior.
Minimal verbalization.
Pulse rate of 100 beats/minute.
Respiratory rate of 60 breaths/minute.
The Correct Answer is D
Choice A rationale:
Fussy behavior in a 1-year-old infant can be a normal response to discomfort, hunger, or unfamiliar surroundings. It is not typically an immediate concern and does not warrant reporting to the physician immediately.
Choice B rationale:
Minimal verbalization is also common in a 1-year-old infant as they are still in the early stages of language development. It is not typically a finding that requires immediate reporting to the physician.
Choice C rationale:
A pulse rate of 100 beats/minute in a 1-year-old infant can be within the normal range. The normal pulse rate for infants can vary, but it generally falls between 100-160 beats/minute. While it may warrant further observation, it is not an immediate concern that requires reporting to the physician.
Choice D rationale:
A respiratory rate of 60 breaths/minute in a 1-year-old infant is significantly lower than the normal range. The normal respiratory rate for infants is typically between 20-40 breaths per minute. A respiratory rate of 60 may indicate respiratory distress or other underlying issues, which should be reported to the physician immediately for further evaluation and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Setting the table with paper plates. A 5-year-old child is typically capable of performing simple tasks that contribute to household chores. Setting the table with paper plates is an age-appropriate task for a 5-year-old because it involves basic motor skills and helps teach them responsibility. Paper plates are safe and do not require handling sharp objects or potentially harmful substances.
Choice B rationale:
Scrubbing out the sink with cleanser. Scrubbing out the sink with cleanser is not an appropriate task for a 5-year-old child. It involves the use of potentially harmful cleaning products and may require them to handle sharp or abrasive objects. This task exceeds the developmental capabilities and safety considerations for a child of this age.
Choice C rationale:
Washing the dirty knives. Washing dirty knives is a task that involves handling sharp objects and potentially hazardous items. It is not an appropriate task for a 5-year-old child due to the safety risks involved. This task requires a level of fine motor skills and responsibility that is beyond what a child of this age can reasonably handle.
Choice D rationale:
Carrying glasses from the table to the sink. Carrying glasses from the table to the sink is a task that can be appropriate for a 5-year-old child. It does not involve handling sharp objects or dangerous chemicals, and it contributes to basic household chores. However, supervision is essential to ensure the child's safety and prevent accidents. .
Correct Answer is A
Explanation
Choice A rationale:
The lower central incisors are the first deciduous (baby) teeth to erupt in most infants. They typically appear around 6-10 months of age. Explaining that the lower central incisors are the first to come in is accurate and aligns with typical dental development.
Choice B rationale:
Upper lateral incisors are not the first deciduous teeth to erupt. While they do come in after the central incisors, they are not the first teeth to appear in most cases.
Choice C rationale:
Upper central incisors come in after the lower central incisors but before the upper lateral incisors. They are not the first deciduous teeth to erupt, so this choice is not accurate in the context of the question.
Choice D rationale:
Lower lateral incisors are not the first deciduous teeth to erupt. They come in later, after the central incisors. This choice is not accurate with respect to the question about the first teeth to erupt.
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.