The nurse is taking the vital signs of children of different ages on a pediatric unit of a hospital. Which of the following is a recommended guideline for this procedure?
A) Take the radial pulse for children younger than 2 years.
B) Take an oral or tympanic temperature for children older than 6 years.
C) The blood pressure cuff should cover approximately one-third of the upper arm of a child.
D) Count respirations for children for 30 seconds.
B
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The nurse would take an oral or tympanic temperature for children older than 6 years and take a tympanic, axillary, or rectal temperature for children who are younger than 6 years, disoriented, unconscious, or in severe respiratory distress. For children older than 2 years, the nurse may take the radial pulse; for those younger than 2 years, the nurse should take the pulse apically. The blood pressure cuff should cover approximately two-thirds of the upper arm of a child and respirations should be counted for a full minute.
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