A nurse assessing a 3-year toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider?

Weight 14.5 kg (32 lb)

Respiratory rate 45/min

Blood pressure 90/50 mm Hg

Heart rate 110/min

Answer and Explanation

The Correct Answer is B

A. A weight of 14.5 kg (32 lb) is normal for a 3-year-old.

B. A respiratory rate of 45 breaths per minute is elevated for a 3-year-old, whose normal range is 20-30 breaths per minute.

C. A blood pressure of 90/50 mm Hg is normal for a toddler.

D. A heart rate of 110/min is within the expected range for a 3-year-old.

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Correct Answer is ["93"]

Explanation

To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:

Identify the maximum dose per kilogram: 3 mg/kg/day.
Multiply the child's weight by this maximum dose:

MaximumDose(mg/day) =31kg×3mg/kg/day= 93mg

So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).

A. An anxiety reaction B. Developing autonomy C. Regression D. Resentment toward the mother

Correct Answer is A

Explanation

A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.

B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.

C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.

D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.

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A nurse assessing a 3-year toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["93"]

Explanation

Correct Answer is A

Explanation

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