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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.3"]
Explanation
Rationale:
Convert pounds to kilograms: 28 lb / 2.2 = 12.7 kg (rounded to the nearest tenth)
Calculate the required dose: 12.7 kg * 10 mg/kg = 127 mg
Calculate the volume to administer: (127 mg / 120 mg) * 5 mL = 5.3 mL (rounded to the nearest tenth).
Correct Answer is D
Explanation
A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.
B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.
C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.
D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.
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