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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Taping the wire to the palm of the hand can be uncomfortable for the child and may interfere with blood flow.
Choice B reason:
Warming the skin prior to probe placement is not a standard practice for pulse oximetry monitoring.
Choice C reason:
Applying the sensor to the index fingernail is not a recommended site for pulse oximetry monitoring in children.
Choice D reason:
Repositioning the probe every 2 hours helps to prevent skin breakdown and ensures accurate readings over time. This is a standard practice in pulse oximetry monitoring.
Correct Answer is B
Explanation
- Choice A Rationale: Preschoolers may personify death as a character or monster due to their developmental stage and exposure to media, but this is not a universal belief and may not be helpful in a teaching context.
- Choice B Rationale: Preschoolers often conceptualize death as a reversible or temporary condition, similar to sleep, due to their limited understanding of the permanence of death, making this an appropriate statement for the nurse to include.
- Choice C Rationale: While preschoolers may express curiosity about death, their understanding is concrete and they may not grasp abstract concepts about what happens after death, thus this statement might not be entirely accurate for all preschoolers.
- Choice D Rationale: Preschoolers may have fears related to death, but these are more often related to separation from parents or changes in routine rather than physical changes during dying, which they may not fully comprehend.
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