A nurse is preparing to insert an IV into the arm of an infant. Which of the following types of restraint should the nurse use?

Swaddle wrap

Jacket

Elbow

Hand mitts

Answer and Explanation

The Correct Answer is A

A. A swaddle wrap is the most appropriate restraint for an infant to keep them calm and still during procedures such as IV insertion.

B. A jacket restraint is more appropriate for toddlers or older children.

C. Elbow restraints are used to prevent flexion of the elbow, typically in older infants or toddlers.

D. Hand mitts are typically used to prevent hand movements but are not as effective as a swaddle wrap for keeping the infant still during an IV insertion.

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Correct Answer is A

Explanation

A. Using simple diagrams to explain the procedure to a school-age child is an effective way to help them understand. Visual aids are appropriate for this age group.

B. School-age children are not developmentally ready to understand long-term consequences of medical procedures in detail.

C. Preparing a school-age child 2 days prior to the procedure is generally appropriate for procedures, but not too far in advance.

D. A 30-minute session may be too long for a school-age child, who may have limited attention span; shorter sessions are typically more effective.

A. Hypertension B. Rounded abdomen C. Vomiting D. Tachypnea

Correct Answer is B

Explanation

A. Hypertension is not typically associated with NEC. In fact, hypotension can occur in severe cases due to shock or sepsis.

B. Rounded abdomen is a common finding in infants with necrotizing enterocolitis (NEC). This is due to abdominal distention, which occurs as a result of gas and fluid buildup in the intestines, a characteristic feature of NEC.

C. While vomiting can be a symptom of NEC, it is not as definitive or characteristic as abdominal distention (rounded abdomen). Vomiting may occur due to bowel obstruction or ileus.

D. Tachypnea can occur in infants with NEC due to infection or sepsis, but it is not as specific or defining as the rounded abdomen.

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A nurse is preparing to insert an IV into the arm of an infant. Which of the following types of restraint should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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