Which action by a nurse is appropriate when preparing a child for ...

[Brittanyd9008]

Which action by a nurse is appropriate when preparing a child for a procedure?
 
  a. Discourage the child from crying during the procedure.
  b. Use professional terms so the child will un-derstand what is happening.
  c. Give the child choices whenever possible.
  d. Discourage the parents from staying in the room during the procedure.

Question 2

Which action by the nurse indicates that the correct procedure has been used to measure vital signs in a toddler?
 
  a. Measuring oral temperature for 5 minutes
  b. Counting apical heart rate for 60 seconds
  c. Observing chest movement for respiratory rate
  d. Recording blood pressure as P/80

[T4T]

Answer to Question 1

C
Allowing children to make choices gives them a sense of control. Children (and adults) should be given permission to cry. Age-appropriate language should always be used. Parents should be encouraged to stay in the room and give support to the child.

Answer to Question 2

B
Apical pulse measurement when the child is quiet for 1 full minute is the preferred method for measuring vital signs in infants and children ages 2 years and younger. A child younger than 6 years may not be able to hold a thermometer under the tongue. The respiratory rate in infants and young children can be measured by watching abdominal movement. It may be difficult to auscultate blood pressure in infants and toddlers. Systolic pressure can be palpated and should be recorded as systolic pressure over pulse (e.g., 80/P).

[Brittanyd9008]

Gracias!

[Laurenleakan]

TYSM