A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

Move the infant into an upright position and suction the airway with a bulb syringe.

Deliver back blows with the infant face down over the rescuer's arm.

Place the infant in a side-lying position and perform abdominal thrusts.

Perform a head tilt and a chin lift and then give two rescue breaths.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Using a bulb syringe for suctioning is not the appropriate intervention for a choking infant. This may not effectively clear the airway obstruction.

Choice B reason:

Delivering back blows with the infant face down over the rescuer's arm is the recommended action for relieving a choking episode in an infant. This helps to dislodge the obstruction from the airway.

Choice C reason:

Placing the infant in a side-lying position and performing abdominal thrusts is the intervention for a conscious infant who is choking. This is not the appropriate action for an infant showing circumoral cyanosis.

Choice D reason:

Performing a head tilt and chin lift followed by giving rescue breaths is the procedure for providing rescue breaths in infant CPR. It is not the initial intervention for a choking infant.

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Correct Answer is B

Explanation

Choice A reason:

Administering naloxone is not indicated for a seizure. Naloxone is used to reverse opioid overdose, not treat seizures.

Choice B reason:

Checking inside the child's mouth for bleeding is important after a seizure to ensure there is no injury to the oral cavity.

Choice C reason:

Giving the child a drink of water immediately after a seizure is not a priority intervention. The child may not be able to swallow properly immediately after a seizure.

Choice D reason:

Placing the child's head in a hyperextended position is not a recommended intervention after a seizure. It is important to maintain the child in a safe position and provide appropriate care after the seizure has ended.

A. Adopted B. Prematurity C. Myopia D. Acute otitis media E. None F. None

Correct Answer is A

Explanation

A. Being adopted can contribute to various emotional and social challenges for a child, but it is not a direct risk factor for physical maltreatment.

B. Prematurity is identified as a potential risk factor for physical maltreatment. Premature infants may have developmental delays or health issues that can increase stress on caregivers, potentially leading to maltreatment.

C. Myopia does not pose a risk factor for physical maltreatment; it is a common vision issue that does not correlate with maltreatment.

D. Acute otitis media is a common childhood illness and is not associated with an increased risk of physical maltreatment. It may cause discomfort and frustration but does not directly relate to the potential for maltreatment.

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A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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