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The nurse would assess respirations in a 9-month-old infant when the client is:

A.

Playing in the playroom.

B.

Crying.

C.

Sleeping.

D.

Laughing.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Playing might cause irregular breathing patterns due to excitement or activity, making it hard to get an accurate respiratory rate.

 

Choice B rationale

Crying can alter the normal breathing rate and pattern, resulting in an inaccurate assessment of respirations.

 

Choice C rationale

Sleeping provides the most accurate assessment of respirations, as the infant’s breathing will be at its natural, resting rate.

 

Choice D rationale

Laughing, similar to crying, causes irregular breathing patterns due to physical exertion and emotions, affecting accuracy.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

AAP guidelines recommend rear-facing car seats for children under 24 months due to superior protection in a collision.

Choice B rationale

The chest buckle should be at armpit level to prevent injury in case of a crash.

Choice C rationale

Switching to a forward-facing car seat at 12 months contradicts safety recommendations; the child should remain rear-facing until at least 2 years old.

Choice D rationale

Car seats should always be placed in the back seat to minimize risk from front airbags during collisions.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Serving food in small, halved, or quartered pieces can help prevent choking, which is a significant concern for infants and young children who are still developing their chewing and swallowing skills.

Choice B rationale

Ensuring the mattress fits snugly against the sides of the crib prevents the infant from getting trapped between the mattress and the crib sides, reducing the risk of suffocation or injury.

Choice C rationale

Child-proof locks on cabinet doors prevent infants from accessing hazardous substances or dangerous objects that could cause harm. This is a crucial aspect of home safety for young children.

Choice D rationale

Setting the water heater at 65°C (149°F) is not recommended because it is too hot and can cause burns. The water heater should be set at a maximum of 48°C (118°F) to prevent scalding injuries.

Choice E rationale

Never leaving a child unattended during bath time is essential to prevent drowning, which can occur quickly and silently. Close supervision is necessary to ensure the child’s safety in the water. .

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