A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?
"I am going to listen to your heart."
"Can I listen to your lungs?"
"I am going to take your blood pressure now."
"Can you stand very still while I feel how warm you are?"
The Correct Answer is A
A. “I am going to listen to your heart.”: This is the correct answer. It is a clear, simple statement that informs the child about what is going to happen. It is important to use language that is appropriate for the child’s age and development.
B. “Can I listen to your lungs?”: While this is a polite way to ask for consent, it might confuse a toddler who may not understand what “lungs” are.
C. “I am going to take your blood pressure now.”: This statement might be too complex for a toddler to understand. It’s better to use simpler language.
D. “Can you stand very still while I feel how warm you are?”: This statement might be confusing for a toddler. It’s better to use clear and direct language.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer 0.9% sodium chloride IV solution: While hydration is important, it’s not the first step in managing a child with suspected epiglottitis.
B. Initiate IV antibiotics: Antibiotics are typically used in the treatment of epiglottitis, but they are not the first step. The first step should be to prevent the spread of the infection.
C. Place the child on droplet precautions: This is the correct answer. Epiglottitis is a potentially life-threatening condition caused by infection. Droplet precautions can help prevent the spread of the infection to others.
D. Assist with obtaining an x-ray of the child’s neck: While an x-ray can help confirm the diagnosis of epiglottitis, it’s not the first step. The first step should be to prevent the spread of the infection.
Correct Answer is A
Explanation
Pruritus of the scalp: This is the correct answer. Pruritus, or itching, of the scalp is a common symptom of pediculosis capitis, also known as head lice.
B. Blisters on the scalp: While blisters can occur with various scalp conditions, they are not typically associated with pediculosis capitis.
C. Bald patches on the scalp: Bald patches can be a sign of conditions like alopecia areata or tinea capitis, but they are not typically associated with pediculosis capitis.
D. Dry patches on the scalp: Dry patches can be a sign of conditions like seborrheic dermatitis or psoriasis, but they are not typically associated with pediculosis capitis.
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