A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

Hyperventilation

Increased blood pressure

Decreased PaCO2

Unconsciousness

Answer and Explanation

The Correct Answer is D

Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.

Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.

Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.

Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.

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Correct Answer is C

Explanation

Choice A reason: The FACES scale is not typically used for infants as they cannot verbally express or select a face that correlates with their pain level.

Choice B reason: The Oucher scale requires a child to point to a face that shows how much pain they are feeling, which is not suitable for infants who cannot communicate their pain verbally.

Choice C reason: The FLACC scale is appropriate for infants as it assesses pain based on five categories of behavior: Facial expression, Leg movement, Activity, Cry, and Consolability.

Choice D reason: The Non-communicating children's pain checklist is designed for children with cognitive impairments and is not the best choice for assessing pain in infants.

A. Ensure that the medication is at room temperature. B. Hyperextend the infant's neck. C. Pull the pinna downward and straight back. D. Hold the infant in an upright position.

Correct Answer is C

Explanation

Choice A reason: Medication should not be cool as it can cause discomfort or even reflexive actions like vomiting or vertigo. It should be at room temperature⁷.

Choice B reason: Hyperextending the infant's neck is not necessary and could be uncomfortable or unsafe. The position should be natural and comfortable⁷.

Choice C reason: Pulling the pinna downward and straight back is the correct method for infants to straighten the ear canal for proper administration of otic medication⁷.

Choice D reason: Holding the infant in an upright position is not ideal for otic medication administration. The infant should be lying down or sitting with the affected ear facing up⁷.

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A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?

Correct Answer is C

Explanation

A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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