Place the nursing assessments of a toddler in the best order
1. Examination of eyes, ears, and throat
2. Auscultation of chest
3. Palpation of abdomen
4. Developmental assessment
Correct Answer: 4,2,3,1
Rationale: In examining a toddler, it is usually best to go from least invasive to most invasive examination in order to build her trust and cooperation. Developmental assessment involves visual inspection and activities that the toddler may view as games and will likely cooperate with. Auscultation is usually less threatening to the toddler than palpation, especially if the nurse were to use the stethoscope on a parent or a toy. The most uncomfortable, invasive exam for the toddler is most likely to be the examination of the eyes, ears, and throat, so that should be performed last.
You might also like to view...
The use of restraints for a hospitalized client is indicated in which of these situations?
a. when close observation and supervision of the client cannot be provided by nursing personnel b. when all other interventions have been tried first c. when other disciplines prefer not to deal with the client's underlying problem d. when only jacket restraints are indicated
A client with heart failure is having a decrease in cardiac output. What indication does the nurse have that this is occurring?
A) Heart rate of 72 beats/minute B) Respiratory rate of 20 breaths/minute C) Blood pressure 80/46 mm Hg D) Oxygen saturation 94%
The nurse is taking care of a patient with Hodgkin's disease. Prednisone is added to the patient's chemotherapeutic regimen
The nurse is providing education about the long-term effects of prednisone, which include which of the following? (Select all that apply.) a. Fluid and electrolyte disturbances b. Osteoporosis c. Improved sense of well-being d. Decrease in bleeding tendency e. Increased risk of infection
What are the nurse's roles in a patient's drug therapy? (Select all that apply.)
A. To select and order specific drugs B. To mix (compound) and dispense prescribed drugs C. To administer prescribed drugs directly to the patient D. To teach patients about the drugs prescribed E. To only accept drug orders from physicians