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Peds unit 2 Chapter 4, 5, and 9 NCLEX review questions
Terms in this set (43)
32. The nurse is ready to begin a physical examination of an 8-month-old infant. The child is sitting contentedly on his mother's lap, chewing on a toy. What should the nurse do first?
A. Elicit reflexes.
Eliciting reflexes
might disturb the child, making auscultation afterward difficult.
B. Auscultate the heart and lungs.
While the child is quiet, auscultation should be performed. Because this is the least intrusive of the options given, it affords the best opportunity to hear the required sounds.
C. Examine the eyes, ears, and mouth.
Examining the eyes, ears, and mouth might disturb the child, making auscultation afterward difficult.
D. Examine the head and then systematically move toward the
feet.
Although examining the head and then systematically moving toward the feet is the way most examinations proceed, the nurse should perform the assessments that require the quiet, alert cooperation of the infant first.
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