A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit.
Which of the following findings should the nurse report to the provider?
Blood pressure 118/74 mm Hg.
Respiratory rate 26/min.
Pulse rate 98/min.
Temperature 37.2° C (99° F).
The Correct Answer is A
According to the normal pediatric vital signs chart provided by Cleveland Clinic, the normal blood pressure range for a 2-year-old child should be between 90- 105/55-70 mm Hg. The blood pressure of 118/74 mm Hg is higher than the normal range for a 2- year-old child and should be reported to the provider.
Choice B is wrong because a respiratory rate of 26/min falls within the normal range of 20-30 breaths per minute for a child between ages 1 and.
Choice C is wrong because a pulse rate of 98/min falls within the normal range of 80-125 beats per minute for a child between ages 1 and.
Choice D is wrong because a temperature of 37.2° C (99° F) falls within the normal range for children which is around 98.6 degrees.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should administer 8 mL of amoxicillin per dose.
Here’s the calculation:
First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.
Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.
Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.
Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.
Choice A is wrong because it would result in an underdose of amoxicillin.
Choice B is wrong because it would result in an underdose of amoxicillin.
Choice D is wrong because it would result in an overdose of amoxicillin.
Correct Answer is A
Explanation
Overheating is a risk factor for SIDS, so it’s important to dress the baby in lightweight clothing to sleep.
Choice B is wrong because infants should always be placed on their back to sleep, not on their side.
Choice C is wrong because bed-sharing increases the risk of SIDS.
Choice D is wrong because stuffed animals should not be placed in the crib with the baby as they can increase the risk of suffocation 2.
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