Which is the priority nursing action when performing a physical assessment on a toddler?
1. Leaving intrusive procedures such as eye and ear examinations until the end
2. Explaining each part of the examination to the child before performing it
3. Performing the assessment from head to toe
4. Asking the mother to tell the child not to be afraid
1
Explanation:
1. Intrusive procedures such as examinations of the eyes, ears, throat, and genitals should be done last to decrease the anxiety of the child during the initial phases of the examination, which include heart and lungs.
2. A toddler is too young to understand the medical terminology.
3. Intrusive procedures such as examinations of the eyes, ears, throat, and genitals should be done last to decrease the anxiety of the child during the initial phases of the examination, which include heart and lungs.
4. Asking the mother to tell the child not to be afraid is an inappropriate response.
You might also like to view...
A 78-year-old patient presents at the clinic complaining of urinary problems. The patient tells the nurse that he experiences frequency, urgency, and has problems initiating and maintaining a urinary stream
Based on the patient's age, what would the nurse suspect? A) Enlarged prostate B) Decreased bladder function C) Increased kidney function D) Partially obstructed ureter
The nurse is caring for a patient with altered level of consciousness (LOC) who is exhibiting extension and outward rotation of the upper extremities and plantar flexion of the feet
The nurse would be correct in documenting this clinical manifestation as which of the following? A) Bilateral flaccidity B) Decorticate posturing C) Decerebrate posturing D) Hemiplegia
A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that there are any scientific reasons to do so. The nurse can give the couple printed information comparing breastfeeding and bottle-feeding
Which statement is true? Bottle-feeding using commercially prepared infant formulas a. Increases the risk that the infant will develop allergies b. Helps the infant sleep through the night c. Ensures that the infant is getting iron in a form that is easily absorbed d. Requires that multivitamin supplements be given to the infant
What type of abuse is demonstrated by restraining an older adult in a recliner?
a. Physical abuse b. Neglect c. Emotional abuse d. Self-neglect