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A nurse is assessing a toddler at a well-child visit.
At what point in the physical examination should the nurse examine the child's tympanic membrane?

A.

At the beginning.

B.

Before auscultating the chest and abdomen.

C.

Before examining the head and neck.

D.

At the end.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Examining the tympanic membrane at the beginning may cause distress to the child and make the rest of the exam difficult.

 

Choice B rationale

Before auscultating the chest and abdomen, the child needs to be calm and cooperative, which might not be the case if their ear is examined first.

 

Choice C rationale

Examining the tympanic membrane before the head and neck could lead to increased anxiety and uncooperativeness in the child during the rest of the exam.

 

Choice D rationale

Examining the tympanic membrane at the end allows for a more accurate and complete examination without causing the child to become distressed early in the process.


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View Related questions

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Keeping the diaper loose in the front helps avoid pressure on the circumcision site, promoting healing and reducing discomfort for the infant.

Choice B rationale

A yellow crust or exudate forming on the circumcision site is a normal part of the healing process and should not be a cause for alarm. It is not an indication to call the doctor immediately unless other signs of infection or complications are present.

Choice C rationale

Notifying the healthcare provider in the case of significant bleeding is crucial. Excessive bleeding can indicate a complication that requires prompt medical attention to ensure the infant's safety and proper healing.

Choice D rationale

Applying petroleum jelly with each diaper change helps to protect the circumcision site from sticking to the diaper, promoting healing and reducing discomfort.

Correct Answer is ["A"]

Explanation

Step 1 is 33 lb × (1 kg ÷ 2.2 lb) = 15 kg.

Step 2 is 30 mg/kg/day × 15 kg = 450 mg/day.

Step 3 is 450 mg/day ÷ 2 = 225 mg per dose.

Step 4 is 225 mg ÷ (200 mg/5 mL) = 5.625 mL. The final calculated answer is 5.6 mL.

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