A client is concerned about their 6-month-old infant's heart rate. What is the recommended method for the nurse to measure the infant's apical pulse?
Palpate the brachial artery.
Auscultate with a stethoscope over the apex of the heart.
Use the radial pulse for accuracy.
Count the pulse at the carotid artery.
The Correct Answer is B
A. Incorrect. Palpating the brachial artery is not the recommended method for measuring the apical pulse.
B. Correct. Measuring the apical pulse with a stethoscope over the apex of the heart allows for accurate assessment of the heart rate in infants.
C. Incorrect. Using the radial pulse is not the appropriate method for measuring the apical pulse in infants.
D. Incorrect. Counting the pulse at the carotid artery is not the recommended method for assessing the apical pulse in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Pulling the child's earlobe down and back is a technique used for straightening the ear canal in older children and adults, not for using a tympanic thermometer.
B. Correct. When using a tympanic thermometer, it's important to gently insert the probe into the ear canal and ensure a proper seal. This helps to obtain an accurate temperature reading.
C. Incorrect. Holding the thermometer in place for 1-2 minutes is not the correct technique for tympanic temperature measurement. It may lead to an inaccurate reading.
D. Incorrect. Using an oral thermometer for a 2-year-old child is not the recommended method, as it may not provide an accurate temperature reading.
Correct Answer is B
Explanation
A. Incorrect. Counting respirations immediately after eating may not provide an accurate measurement, as activity or digestion can influence respiratory rate.
B. Correct. Observing chest movement for a full minute allows for an accurate assessment of respiratory rate in children.
C. Incorrect. While using a stopwatch may be helpful, it is not necessary to ensure an accurate respiratory rate measurement in this context.
D. Incorrect. Asking the child to take deep breaths may not reflect their natural respiratory rate and could lead to an inaccurate assessment.
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