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The nurse needs to take a B/P on a 3 year old who is in the playroom. What is the best intervention?

Document B/P not obtained because child was in the playroom.

Take the child back to their room, take their B/P and then take them back to the playroom.

Take the child to the treatment room.

Take the B/P in the playroom.

Answer and Explanation

The Correct Answer is D

A. Document B/P not obtained because the child was in the playroom.

This is not the best option. The nurse should attempt to obtain the blood pressure as part of routine monitoring.

B. Take the child back to their room, take their B/P and then take them back to the playroom.

This may disrupt the child's play and is not the most efficient approach for routine blood pressure monitoring.

C. Take the child to the treatment room.

This might be unnecessary for a routine blood pressure check and could cause unnecessary anxiety for the child.

D. Take the B/P in the playroom.

This is the best intervention. If possible, taking the blood pressure in the playroom allows the child to remain in a familiar and comfortable environment, reducing anxiety and promoting cooperation.

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Correct Answer is A

Explanation

A. 21 pounds: This is the correct answer. The general guideline is that infants tend to triple their birth weight by the age of 12 months. If the infant weighed 7 pounds at birth, tripling that weight would be 21 pounds.

B. 14 pounds: This weight would not be consistent with the expected weight gain of a healthy infant by 12 months. It's too low based on the tripling guideline.

C. 25 pounds: This weight would be higher than expected based on the tripling guideline. It's not a typical weight for a healthy 12-month-old who had a birth weight of 7 pounds.

D. 10 pounds: This weight would be lower than the expected weight gain. A 12-month-old who started at 7 pounds should have gained more weight by this age.

A. Perform passive range of motion on the injured knee. B. Put an ice pack on the child's knee. C. Have the child watch a favorite program on television. D. Read a book to the child.

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

Explanation

A. Perform passive range of motion on the injured knee.

While passive range of motion exercises can be beneficial in some situations, it's important to exercise caution, especially with an injured knee. Without detailed information about the nature and extent of the injury, manipulating the injured area could potentially worsen the pain or cause harm. It is advisable to consult with the healthcare provider before implementing passive range of motion exercises.

B. Put an ice pack on the child's knee.

Applying an ice pack is a nonpharmacological intervention that can help reduce inflammation and provide pain relief for certain types of injuries. It is commonly used in the management of acute injuries to minimize swelling and alleviate discomfort.

C. Have the child watch a favorite program on television.

Distraction is an effective nonpharmacological approach to pain management, especially in children. Allowing the child to engage in a favorite activity, such as watching a program on television, can divert their attention from the pain and contribute to their overall well-being.

D. Read a book to the child.

Reading a book is a comforting and distracting activity. It creates a positive and calming environment, and it can help shift the child's focus away from the pain. This nonpharmacological intervention promotes a sense of comfort and reassurance.

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The nurse needs to take a B/P on a 3 year old who is in the playroom. What is the best intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 12-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately:

Correct Answer is A

Explanation

To enhance the effectiveness of the pharmacological pain intervention administered to a 4-year old child with an injured knee, the nurse plans to add a nonpharmacological intervention. Which of the following actions would be appropriate for the nurse to perform? (select all that apply)

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

Explanation

The nurse is discussing safety with the father of a four-year old child. Critical teaching points should include the following except:

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