Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
An infant.When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination?
Correct answer
A,C,D,E
Rationale
Correct Answer: A, C, D, E
Rationale:
A: Keeping the parents close by provides comfort and security to the infant, promoting relaxation and cooperation during the assessment.
C: Auscultating heart, lung, and bowel sounds first allows the nurse to assess vital functions before potentially upsetting the infant with more invasive procedures.
D: Smiling and using a gentle voice helps establish trust and rapport with the infant, reducing anxiety and promoting a positive experience.
E: Starting the assessment at the infant's head and progressing down allows for a systematic approach, reducing stress and ensuring a thorough examination.
Summary:
B: Expecting the infant's cooperation is unrealistic as infants may not understand or comply with instructions during assessments.
F: No information provided to assess the correctness of this option.
G: No information provided to assess the correctness of this option.
Rationale:
A: Keeping the parents close by provides comfort and security to the infant, promoting relaxation and cooperation during the assessment.
C: Auscultating heart, lung, and bowel sounds first allows the nurse to assess vital functions before potentially upsetting the infant with more invasive procedures.
D: Smiling and using a gentle voice helps establish trust and rapport with the infant, reducing anxiety and promoting a positive experience.
E: Starting the assessment at the infant's head and progressing down allows for a systematic approach, reducing stress and ensuring a thorough examination.
Summary:
B: Expecting the infant's cooperation is unrealistic as infants may not understand or comply with instructions during assessments.
F: No information provided to assess the correctness of this option.
G: No information provided to assess the correctness of this option.