A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?
Remove the toddler's outer clothing.
Discourage the toddler from sitting in the parent's lap.
Allow the toddler to inspect the stethoscope.
Perform traumatic procedures first.
The Correct Answer is C
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
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Related Questions
Correct Answer is D
Explanation
A. Haemophilus influenzae type b (Hib) vaccination is typically given to infants and toddlers, not to children who are 11 years old. The child would likely have already received this vaccine as part of their early childhood immunizations.
B. Hepatitis A vaccination is recommended for children, but it is typically given earlier in childhood (around 1 year of age), and would not be given at 11 years old unless it is part of a catch-up schedule.
C. Rotavirus vaccination is given to infants, and by the age of 11, the child should have completed the recommended series.
D. The Human papillomavirus (HPV) vaccine is recommended for children ages 11 to 12 years, making it appropriate for this child. The nurse should plan to administer the HPV vaccine as part of routine immunizations for this age group.
Correct Answer is C
Explanation
A. Hemophilus influenzae, which causes respiratory infections, generally requires droplet precautions, not contact precautions.
B. Streptococcal pharyngitis is also typically managed with droplet precautions, not contact precautions.
C. Clostridium difficile (C. diff) is a bacterial infection that causes severe diarrhea and gastrointestinal symptoms. It is spread through direct contact with contaminated surfaces or equipment, so contact precautions are necessary to prevent transmission.
D. Mycoplasma pneumoniae, which causes respiratory infections, requires droplet precautions, not contact precautions.
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