A nurse is collecting data from an infant.
Which of the following sites is the most reliable location to check the infant’s pulse?
Carotid.
Dorsalis pedis.
Temporal.
Apical.
The Correct Answer is D
Choice A rationale
The carotid pulse is not the most reliable location to check an infant’s pulse because it can be difficult to locate and can cause discomfort to the infant.
Choice B rationale
The dorsalis pedis pulse is not the most reliable location to check an infant’s pulse because it can be difficult to locate in small infants.
Choice C rationale
The temporal pulse is not the most reliable location to check an infant’s pulse because it can be affected by external factors such as temperature and can be difficult to locate in small infants.
Choice D rationale
The apical pulse is the most reliable location to check an infant’s pulse. It is located at the apex of the heart and can be easily heard using a stethoscope. It provides the most accurate assessment of the heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale
A protruding tongue is a common characteristic in children diagnosed with Down syndrome. This is due to hypotonia (low muscle tone) and a relatively small oral cavity.
Choice B rationale
An outward slant to the eyes, also known as upslanting palpebral fissures, is a common characteristic in children with Down syndrome.
Choice C rationale
Wide-spaced front teeth are not typically associated with Down syndrome. Dental anomalies in Down syndrome often include delayed eruption of teeth and missing or extra teeth.
Choice D rationale
Curved, small fingers are a common characteristic in children with Down syndrome. This is part of the typical hand morphology that may also include a single palmar crease.
Choice E rationale
Simian creases, also known as single palmar creases, are common in children with Down syndrome. This is a single crease that runs across the palm of the hand, instead of the usual three creases.
Correct Answer is C
Explanation
Choice A rationale
Applying suction continuously while inserting the suction catheter is not recommended. This could potentially cause trauma to the trachea and lead to complications.
Choice B rationale
Using a large diameter suction catheter for better suctioning is not recommended. The size of the suction catheter should be appropriate for the size of the tracheostomy tube. Using a catheter that is too large could cause trauma to the trachea.
Choice C rationale
Suctioning for no more than 10 seconds at a time is recommended to prevent hypoxia (lack of oxygen). Prolonged suctioning can lead to complications such as hypoxia, trauma to the trachea, and cardiac arrhythmias.
Choice D rationale
Applying suction while the child is exhaling is not recommended. Suction should be applied while withdrawing the suction catheter, not during exhalation.
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