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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?

A.

"I am going to listen to your heart."

B.

"Can I listen to your lungs?"

C.

"I am going to take your blood pressure now."

D.

"Can you stand very still while I feel how warm you are?"

Answer and Explanation

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.
 


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Related Questions

Correct Answer is ["240"]

Explanation

To calculate the total fluid intake, we need to convert all measurements to the same unit. In this case, we’ll convert everything to milliliters (mL).
1 cup = 240 mL 1 ounce (oz) = 30 mL
So, the child’s fluid intake is:
Juice: 1/2 cup = 120 mL
Gelatin: 3 oz = 90 mL
Ginger ale: 1 oz = 30 mL
Adding these together gives:
120 mL (juice) + 90 mL (gelatin) + 30 mL (ginger ale) = 240 mL
Therefore, the nurse should record the child’s fluid intake as 240 mL.

Correct Answer is B

Explanation

Place the infant on his right side: This position is not typically recommended for infants with gastroesophageal reflux as it does not help to keep the stomach contents down.

B. Place the infant in an infant seat: This is the correct answer. Keeping the infant in an upright position after feedings can help prevent reflux by using gravity to keep the stomach contents down.

C. Place the infant in a prone position: This position is not typically recommended for infants, especially after feedings, as it can increase the risk of sudden infant death syndrome (SIDS).

D. Place the infant on his left side: While this position can help with digestion, it’s not typically recommended for infants with gastroesophageal reflux as it does not help to keep the stomach contents down

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