Where is the appropriate placement of a tongue blade for assessment of the mouth and throat?

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Question 1 of 5

Where is the appropriate placement of a tongue blade for assessment of the mouth and throat?

Correct Answer: A

Rationale: The appropriate placement of a tongue blade for assessment of the mouth and throat is at the center back area of the tongue. This location allows the healthcare provider to depress the tongue gently to have a clear view of the oral cavity, tonsils, and throat structures. Placing the tongue blade on the side of the tongue may not provide adequate visualization, and placing it against the soft palate or on the lower jaw would not help in examining the mouth and throat effectively.

Question 2 of 5

Austin, age 6 months, has six teeth. How should the nurse interpret this finding?

Correct Answer: A

Rationale: The eruption of teeth in infants typically begins around 6 months of age, with the lower central incisors being the first to appear. Having six teeth at 6 months old is within the normal range of tooth eruption for infants. The average time frame for infants to have their first teeth is between 4 to 7 months, so Austin's situation falls within that range. There is no cause for concern or interpretation of the finding as unusual or dangerous in this scenario.

Question 3 of 5

The parents of a 12-month-old child ask the nurse whether the child can eat hot dogs. The nurse's reply should be based on which statement?

Correct Answer: D

Rationale: The correct statement to guide the parents on feeding their 12-month-old child hot dogs is that the hot dogs must be cut into small, irregular pieces to prevent aspiration. Hot dogs are a high-risk choking hazard for young children due to their shape and texture. Cutting them into small, irregular pieces decreases the risk of choking as compared to slicing them into sections. It is essential to always supervise young children while they are eating to prevent choking incidents. So, the nurse should advise the parents to cut the hot dogs into small, irregular pieces to ensure the child's safety.

Question 4 of 5

Which action by the nurse demonstrates use of evidence-based practice (EBP)?

Correct Answer: C

Rationale: Questioning the use of daily central line dressing changes demonstrates the use of evidence-based practice (EBP) by the nurse. In EBP, decisions about patient care should be informed by the best available evidence, clinical expertise, and patient preferences. By questioning the necessity of daily dressing changes for central lines, the nurse is seeking to ensure that the care provided is based on sound evidence and best practices rather than simply following routine procedures. This critical thinking and questioning approach aligns with the principles of evidence-based practice.

Question 5 of 5

What is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler?

Correct Answer: B

Rationale: Encouraging parents to room in with the hospitalized toddler is an appropriate nursing intervention to minimize separation anxiety. This allows the child to maintain a sense of security and familiarity by having their primary caregivers close by. Having parents present can provide comfort, reassurance, and emotional support for the child during their hospital stay, which can help alleviate separation anxiety. Additionally, parents can continue to provide their usual care and routines for the child, further promoting a sense of stability and security.

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