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 B

Explanation

A. A platelet count of 98,000/mm3 is below the normal range, indicating thrombocytopenia, which is common in leukemia but not indicative of therapeutic response.

B. A WBC count of 15,000/mm3 (normal range 5,000 to 10,000/mm3) suggests that the child’s immune system is responding to the treatment and may be recovering from leukopenia, a common result of chemotherapy for acute lymphoblastic leukemia.

C. A normal RBC count (5/mm3) would not be therapeutic for leukemia, which typically leads to anemia.

D. A hemoglobin level of 6.8 g/dL is low, indicating anemia, which is common in leukemia and its treatment but is not an indication of therapeutic effect.

A. Monitor oxygen saturation. B. Begin droplet precautions. C. Inspect the epiglottis. D. Obtain a throat culture. E. Initiate IV access.

Correct Answer is ["A","B","E"]

Explanation

A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.

B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.

C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.

D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.

E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.

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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

A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Correct Answer is B

Explanation

A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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