For which children would the nurse conduct an immediate comprehensive health history?

A child who is brought to the emergency room with labored breathing

A child who is a new client in a pediatric office

A child who is a routine client and presents with signs of a sinus infection

A child whose condition is improving

Answer and Explanation

The Correct Answer is A

A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.

Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.

B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.

C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.

D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.

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Correct Answer is B

Explanation

A. "Activity will increase the respiratory rate": While activity can indeed affect respiratory rate, counting for a full minute allows for a more accurate assessment of the newborn's baseline respiratory rate, regardless of activity level.

B. "The rate and rhythm of breath are irregular in newborns": This statement reflects an understanding of why a complete minute is necessary for counting the respiratory rate in newborns. Newborns often have irregular breathing patterns, so counting for a full minute helps ensure an accurate assessment of their respiratory rate.

C. "Newborns are abdominal breathers": While newborns primarily use their diaphragm to

breathe (abdominal breathing), this fact alone does not explain why the respiratory rate should be counted for a full minute.

D. "Newborns do not expand their lungs fully with each respiration": While newborns may not fully expand their lungs with each breath, this factor is not the primary reason for counting the respiratory rate for a full minute.

A. Need for increased caloric intake B. Management of tantrums C. Dental care D. How to establish trust E. How to encourage cooperative play

Correct Answer is ["B","C","E"]

Explanation

A. Need for increased caloric intake

While toddlers may require adequate nutrition, emphasizing the need for increased caloric intake without individualized assessment and guidance may not be appropriate for all children.

B. Management of tantrums

Toddlers commonly experience tantrums as part of their development. Teaching parents effective strategies for managing and responding to tantrums can help promote positive behavior and reduce stress for both the child and the parents.

C. Dental care

Promoting good oral hygiene practices, such as regular brushing with fluoride toothpaste and routine dental check-ups, is essential for maintaining the toddler's oral health.

D. How to establish trust

While establishing trust is important for the parent-child relationship, this aspect of teaching may be more applicable to infants rather than toddlers who are already in the process of developing

trust with their caregivers.

E. How to encourage cooperative play

Encouraging cooperative play helps foster social skills, sharing, and cooperation in toddlers. Providing guidance on facilitating playdates, sharing toys, and resolving conflicts can support healthy social development.

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For which children would the nurse conduct an immediate comprehensive health history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

Correct Answer is B

Explanation

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description?

The nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. What should be a priority focus of this guidance?

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The nurse is performing an assessment of the reproductive system of a 17-year-old girl. What would alert the nurse to a developmental delay in this girl?

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The nurse is examining a 10-month-old boy who was born 10 weeks early. Which finding is cause for concern?