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A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well- child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

Obtain the infant's weight with their diaper on.

Place a stadiometer on the top of the infant's head to measure their length.

Ensure the scale is balanced to "0" before weighing the infant.

Cover the scale with a clean sheet of paper..

Measure the infant's length from the crown of the head to the heels of the feet.

Answer and Explanation

Correct Answer : C,D,E

Choice A reason:

Obtaining the infant's weight with their diaper on should be avoided as this can alter the result.

Choice B reason:

Placing a stadiometer on the top of the infant's head to measure their length can harm or distress the infant.

Choice C reason:

Ensuring the scale is at 0 is important in obtaining an accurate weight Choice D reason:

Covering the scale with paper is recommended for hygiene purposes

Choice E reason:

This method provides an accurate measurement of the infant's length.

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Correct Answer is B

Explanation

Choice A reason:

Using a bulb syringe for suctioning is not the appropriate intervention for a choking infant. This may not effectively clear the airway obstruction.

Choice B reason:

Delivering back blows with the infant face down over the rescuer's arm is the recommended action for relieving a choking episode in an infant. This helps to dislodge the obstruction from the airway.

Choice C reason:

Placing the infant in a side-lying position and performing abdominal thrusts is the intervention for a conscious infant who is choking. This is not the appropriate action for an infant showing circumoral cyanosis.

Choice D reason:

Performing a head tilt and chin lift followed by giving rescue breaths is the procedure for providing rescue breaths in infant CPR. It is not the initial intervention for a choking infant.

A. Apply cold compresses to painful joints. B. Maintain bed rest to prevent hypoxemia. C. Decrease daily oral fluid intake. D. Administer meperidine to eliminate a fever.

Correct Answer is B

Explanation

Choice A reason:

Cold compresses may exacerbate vaso-occlusion in a client with sickle cell anemia and are not recommended.

Choice B reason:

Maintaining bed rest can help reduce the risk of hypoxemia, as it minimizes energy expenditure and oxygen demand.

Choice C reason:

Increasing oral fluid intake is important for preventing vaso-occlusive crises, so decreasing fluid intake is not a recommended intervention.

Choice D reason:

Administering meperidine for fever is not a standard intervention for sickle cell anemia. Fever during a vaso-occlusive crisis should be evaluated and treated according to the underlying cause.

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A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well- child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

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