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This initial quick assessment of general appearance will serve the nurse well if its
_____; delay your interpretation of what you haveassessed until you gather more
data. - answers-objective
Measurement of Vital Signs Measure, document, and interpret the vital signs of
chil-dren using age-appropriate equipment and approaches.The child's age and
size, as well as knowledge of under-lying health conditions, will affect your
analysis of thevital signs. Vital signs are the temperature, pulse rate, res-piratory
rate, and blood pressure. - answers-child age
child height
temperature
pulse rate
respiratory rate
blood pressure
How long should a nurse count the heart rate and respiratory for an infant or
child. - answers-Count the heartrate and respiratory rate for a full minute
What should the nurse do before taking a child's vital sign?
Infant? - answers-comfort an infant before taking vital signs
,distract the young child when taking vitals signs.
signs.
When is the best moment to take a child's vital signs? - answers-If possible,
perform these measurements when the child is quiet
A child is crying while the nurse is performing vital signs because the nurse did
not comfort the kid. What should the nurse note about the vital sign
measurement? - answers-The nurse should note the child was either crying or
active during the assessment.
What should also be assessed when taking a child's vital signs? - answers-Also
asses the child's pain level while taking a set of vitals.
What are the routes for taking a child's temperature?(5) - answers-The routes for
taking the child's temperature are tym-panic, temporal, oral, axillary, and rectal.
Which type of thermometer is the best for measuring a child's core, bladder, or
arterial temperature? - answers-tympanic temperature
Take the child's temperature using the least ____ method that is best accepted by
the child, parent, and health care provider. - answers-invasive
,Choosing a method of measuring temperature de-pends on?(2) - answers-
1.available at the facility
2.child's age and physical condition
Tympanic temperature reflects the temperature of what part of the body? -
answers-pulmonary artery temperature
What is the tympanic thermometer not affected by in a child? - answers-earwax
or cerum
What is the tympnanic thermometer reading affected by in a newborn? - answers-
Vernix
What is a newer method of temperature measurement that uses infrared
scanning on the skin overthe temporal artery combined with a mathematical
computation to determine the child's arterial temperature? - answers-Temporal
scanning
What are the (5) major components of a complete examination?
musculoskeletal system, and neurologicsystem. - answers-1.general appearance
2.vital signs
, 3.body measurements
4.pain assessment
5.exam of head neck eyes ears nose mouth and throat,
skin thorax lungs breast heart and peripheral per fusion, abdomen, genitalia, and
rectum, muscle skeletal system and neurological system.
What will the nurse not be assessing most of the time but it depends on the
institution?(3) - answers-1.Breasts
2.genitalia
3.eyes or ears in detail.
What should a nurse note about a child's general impression?(16) - answers-First
Impression
1.Ill or well
2.Child expression
3.child energy level
4.Note lethargy, listlessness, excessive activity, or inappropriate attention span
forthe child's age.
5.Observe the child's state of alertness and whether he or she is responding
appropriately to the stress of the situation.
6.note the child's posture
7.Child's development appears appropriate