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 B
Explanation
A. The MMR vaccine contains live attenuated viruses, which can pose a risk to severely immunocompromised children. This vaccine should not be administered to immunocompromised children unless otherwise advised by a specialist.
B. The DTaP vaccine is an inactivated vaccine and is safe to administer to immunocompromised children. It does not contain live viruses and is recommended for children in this age group.
C. The varicella vaccine is a live attenuated vaccine, which can be risky for immunocompromised children. The nurse should avoid administering this vaccine unless explicitly directed by the healthcare provider.
D. The LAIV is a live attenuated vaccine, which is not recommended for children who are severely immunocompromised. Alternative inactivated flu vaccines should be used.
Correct Answer is D
Explanation
A. Hypersomnia is not typically associated with Cushing's syndrome. Instead, individuals with Cushing's syndrome often experience insomnia or sleep disturbances.
B. Hypotension is not a common finding in Cushing's syndrome. The condition typically leads to hypertension due to increased cortisol levels, which raise blood pressure.
C. Rapid weight loss is not characteristic of Cushing's syndrome. In fact, Cushing's syndrome typically causes rapid weight gain, especially in the trunk and face.
D. Rounded facial features, also known as a "moon face," are a hallmark sign of Cushing's syndrome, caused by an increase in cortisol and fat deposition in the face.
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