/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 57 When performing a routine assess... [FREE SOLUTION] | 91影视

91影视

Log out

Learning Materials

Features

Discover

Chapter 34: Problem 57

When performing a routine assessment on a 1 -year-old client, which data should be collected first? A. Rectal temperature B. Heart rate C. Respirations D. Blood pressure

Short Answer

Expert verified
C. Respirations

Step by step solution

01

Understanding the Options

Read and understand all the given options. The options are rectal temperature, heart rate, respirations, and blood pressure.
02

Prioritization of Assessment for a 1-Year-Old

Consider the order of priority in assessing a 1-year-old. In pediatric assessments, respirations should be assessed first, especially in infants and young children, because a child鈥檚 breathing can be easily disrupted or altered by the stress or discomfort caused by taking other measurements.
03

Referencing Clinical Guidelines

Refer to clinical guidelines for pediatric assessments which indicate that respirations should be taken first to ensure an accurate measurement, unaltered by other procedures.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Infant Vital Signs
Infant vital signs are crucial indicators of a baby's health. These vital signs include different parameters:
  • Heart rate
  • Respiratory rate
  • Temperature
  • Blood pressure
Each of these signs provides essential information about the well-being of the infant. For instance, a normal heart rate for a 1-year-old ranges from 70 to 110 beats per minute. The respiratory rate, on the other hand, is typically between 20 to 30 breaths per minute for this age group.
Monitoring these signs regularly helps in assessing the infant's overall health status and detecting any potential medical issues early on. Understanding these parameters can help parents and healthcare providers respond appropriately to any changes in the infant's condition.
Respiratory Rate Prioritization
When assessing a 1-year-old, it's important to prioritize certain vital signs to get the most accurate readings. The respiratory rate should always be checked first. This is crucial because:
  • The act of checking other vital signs can disrupt a child's breathing.
  • Stress or discomfort from taking a temperature or blood pressure can alter the child's natural breathing pattern.
The respiratory rate is a vital indicator of how well an infant is breathing and can highlight potential respiratory issues early on. By assessing respirations first, healthcare providers ensure that the reading is accurate and reflective of the child's normal breathing pattern.
Clinical Guidelines for Children
Clinical guidelines provide essential protocols for assessing infants and children. According to these guidelines:
  • Respiratory rate should be assessed first to avoid any potential interference from stress or discomfort.
  • Heart rate and temperature should be measured afterward.
  • Blood pressure, if necessary, is typically checked last due to the difficulty in obtaining an accurate reading in young children.
These guidelines help ensure that each measurement is as accurate as possible, contributing to a comprehensive assessment of the infant's health. Adhering to these clinical guidelines facilitates better health outcomes by making more precise and informed decisions about the child's care and any necessary treatments.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

Due to a severe asthma attack, a client has been on corticosteroids for more than 2 weeks. Which information should the nurse give the client about when the time comes to stop the medication? A. Fluid intake will need to be limited. B. The dose of medication will be tapered down slowly. C. Extra calcium will be needed for a week to ten days, D. Vitamin supplements will be needed to prevent bone loss.

A child is found to be allergic to milk. To ensure adequate calcium intake, which foods would the nurse recommend be included in the child's diet? A. Coffee and tea B. Pork and ground beef C. Fruits such as apples and pears D. Green leafy vegetables such as collard greens and spinach

Which of the following is a common postoperative cause of airway obstruction? A. Difficult intubation B. Facial edema C. PO2 greater than 60 mmHg D. Tongue blocking the airway

A teenager is admitted to the hospital with a diagnosis of osteomyelitis. An IV is started for administration of parenteral antibiotics. The teenager complains about hospitalization and asks the nurse: "Why can't I just be given some pills to take like my friend that had the abscess?" The nurse's response would be based on the knowledge that osteomyelitis: A. Lacks an effective oral antibiotic. B. Can cause pathologic fractures so the child must be hospitalized. C. Is caused by a different organism than the one that causes abscesses. D. Requires parenteral antibiotics to reach bone levels of the drug high enough to be effective.

A 35-year old man is brought to the emergency department by EMS personnel after he was found sitting in the car in an enclosed garage with the motor running. He is unresponsive and hypotensive, and his skin is bright red. Which intervention would have the greatest priority?A. Administration of oxygen B. Placing the client in a prone position. C. Administration of Narcan D. Initiating CPR.
See all solutions

Recommended explanations on Biology Textbooks

Cellular Energetics

Read Explanation

Substance Exchange

Read Explanation

Chemistry of Life

Read Explanation

Genetic Information

Read Explanation

Biological Molecules

Read Explanation

Ecosystems

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.