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A nurse is preparing to obtain a blood pressure reading from a school-age child. Which of the following actions should the nurse take?

Record the diastolic value as the first Korotkoff sound (K1).

Release the cuff pressure at a rate of about 5 mm Hg/second.

Position the child's arm at the level of the heart.

Select a cuff with a bladder size that is approximately 20% of the child's upper arm circumference.

Answer and Explanation

The Correct Answer is C

Rationale:

A) The diastolic value is recorded as the disappearance of Korotkoff sounds (K5), not the first sound (K1).

B) The cuff pressure should be released at a rate of 2-3 mm Hg/second, not 5 mm Hg/second.

C) Positioning the child's arm at the level of the heart ensures an accurate blood pressure measurement.

D) The cuff bladder size should be approximately 40% of the child's upper arm circumference, not 20%.

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Correct Answer is A

Explanation

Rationale:

A) Adolescents have the right to consent to their own medical care for STI screening and treatment in many jurisdictions.

B) Instructing the adolescent that a guardian must be present for consent may discourage them from seeking necessary care due to privacy concerns.

C) Confidentiality is essential in healthcare, and unless there are specific legal or ethical reasons to involve the guardian, the adolescent's privacy should be respected.

D) Obtaining phone consent from the guardian may not be necessary if the adolescent is capable of consenting to their own care.

A. "Critique your child's speech." B. "Look away from your child when they start to stutter." C. "Avoid completing your child's sentences." D. "Tell your child to take a deep breath when they are stuttering."

Correct Answer is C

Explanation

Rationale:

A) Critiquing the child's speech can increase anxiety and worsen stuttering.

B) Looking away from the child when they start to stutter can make them feel ignored or embarrassed.

C) Avoiding completing the child's sentences allows them to express themselves independently and reduces pressure to perform fluently.

D) Telling the child to take a deep breath when they are stuttering may not effectively address the underlying issue and can increase self-consciousness.

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A nurse is preparing to obtain a blood pressure reading from a school-age child. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Explanation

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