Answer to Question 1
C
The expected values for vital sign measurements in the preschooler are a heart rate of 60 to 100 beats per minute, a blood pressure averaging 92/56 mm Hg, and a respiratory rate of 23 to 25 breaths per minute. The vital sign measurements in this option would be within normal limits for the preschool-age child.
HR, 100; BP, 70/40; R, 40 are not normal vital sign values for a preschooler.
HR, 90; BP, 100/60; R, 32 are not expected values for a preschooler's vital signs.
HR, 70; BP, 100/70; R, 16 are vital sign measurements that are more consistent with those of a school-age child, not a preschooler.
Answer to Question 2
D
To assess for sleep apnea, the nurse may ask, Do you snore loudly? and, Do you experience headaches after awakening? A positive response may indicate that the client experiences sleep apnea.
The question How easily do you fall asleep? is directed at assessing the potential presence of insomnia.
The question Do you have vivid, lifelike dreams? is directed at determining the potential pres-ence of narcolepsy.
The question Do you ever experience loss of muscle control or falling? is directed at deter-mining the potential presence of narcolepsy.
This young child is pulling at the ear and acting fussy, two important signs of otitis media.
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A space probe approaches a planet, taking measurements as it goes. If it detects a potential ...