When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

Keeping the parents close by, so the infant can see them.

Expecting the infant’s cooperation during the physical assessment.

Auscultating heart, lung, and bowel sounds first.

Smiling and using a gentle voice when talking to the infant.

Starting the assessment at the infant’s head, beginning with the ears and eyes.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale

Keeping the parents close by during a physical assessment can help to soothe and comfort the infant. The presence of a familiar face can reduce anxiety and fear, making the examination process smoother.

Choice B rationale

Expecting an infant’s cooperation during a physical assessment is not realistic. Infants are not capable of understanding the purpose of the examination and may become distressed or uncooperative.

Choice C rationale

Auscultating heart, lung, and bowel sounds first is a recommended technique when performing a physical assessment on an infant. These assessments are non-invasive and can be done quickly and quietly, which can help to keep the infant calm and relaxed.

Choice D rationale

Using a gentle voice and smiling when talking to the infant can help to create a soothing and comforting environment. This can help to reduce the infant’s anxiety and make the examination process smoother.

Choice E rationale

Starting the assessment at the infant’s head, beginning with the ears and eyes, is a recommended technique. This allows the nurse to observe the infant’s facial expressions and reactions, which can provide valuable information about the infant’s overall health and well- being.

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Correct Answer is A

Explanation

Choice A rationale

Seizures, confusion, and weakness are symptoms that a nurse should anticipate when assessing a child suffering from hypotonic hyponatremia with a sodium level below 114

mEq/L2. Severe hyponatremia can lead to cerebral edema, resulting in neurologic symptoms such as seizures and confusion.

Choice B rationale

Mild tingling and numbness in fingers are not typically associated with hyponatremia. These symptoms are more commonly associated with conditions affecting the nervous system or with electrolyte imbalances such as hypocalcemia.

Choice C rationale

Frequent urination and fluid retention are not typical symptoms of hyponatremia. They are more commonly associated with conditions such as kidney disease or heart failure.

Choice D rationale

A temperature of 96°F orally and drowsiness are not specific symptoms of hyponatremia. While drowsiness can occur with severe hyponatremia due to cerebral edema, a low body temperature is not typically associated with this condition.

A. We will work on catching a bounced ball. B. We will purchase a jumping rope. C. We will encourage him to ride his tricycle. D. Running is a great activity, we can play chase.

Correct Answer is C

Explanation

Choice A rationale

Working on catching a bounced ball is an age-appropriate activity for a 7-year-old child. This activity helps develop motor skills and hand-eye coordination.

Choice B rationale

Purchasing a jumping rope is an age-appropriate activity for a 7-year-old child. Jumping rope helps improve physical fitness, coordination, and timing.

Choice C rationale

Encouraging a 7-year-old child to ride his tricycle indicates a need for further teaching. At this age, most children have the balance and coordination necessary to ride a two-wheeler bike.

Continuing to ride a tricycle may limit the development of these skills.

Choice D rationale

Running is a great activity for a 7-year-old child. It helps improve cardiovascular fitness and physical strength. Playing chase adds an element of fun and can also help develop social skills.

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When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child who is suffering from hypotonic hyponatremia with a sodium level below 114 mEq/L. Which of the following symptoms will the nurse anticipate when assessing the child?

Correct Answer is A

Explanation

The nurse is providing education about age-appropriate activities to the parents of a 7-year-old child. Which of the following statements indicates a need for further teaching?

Correct Answer is C

Explanation

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