NCLEX-PN

Category - Health Promotion

The nurse is assessing an 18-month-old child in a well-baby clinic. Which of the following examination techniques should the nurse utilize when assessing a pediatric client?
  1. Inspection, auscultation of the lungs
  2. Auscultation of the lungs, inspection
  3. Auscultation of the heart, inspection
  4. Inspection, palpation, percussion, auscultation
Explanation
Answer: A - When assessing a pediatric client, the nurse should start with inspection and then follow with auscultation of the lungs. Physical assessment can be irritating and the child may cry as the examination continues, increasing the respiratory rate.
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