A nurse observes circumoral cyanosis in an infant who is choking.
Which of the following actions should the nurse take?
Deliver back blows with the infant face down over the rescuer's arm.
Move the infant into an upright position and suction the airway with a bulb syringe.
Perform a head tilt and a chin lift and then give two rescue breaths.
Place the infant in a side-lying position and perform abdominal thrusts.
The Correct Answer is A
Choice A rationale
Delivering back blows with the infant face down over the rescuer's arm is the appropriate first aid response to an infant choking. This method uses gravity and force to help dislodge the object from the infant's airway, providing a swift and effective means to clear the obstruction and prevent further complications from lack of oxygen.
Choice B rationale
Moving the infant into an upright position and suctioning the airway with a bulb syringe is not suitable for an acute choking situation. Suctioning is more appropriate for clearing mucus or fluids, not solid objects blocking the airway, and it could delay necessary intervention.
Choice C rationale
Performing a head tilt and a chin lift with rescue breaths is typically used in CPR for unresponsive infants, not choking. Administering rescue breaths on a choking infant may force the object further into the airway, worsening the blockage.
Choice D rationale
Placing the infant in a side-lying position and performing abdominal thrusts is not recommended for infants under one year old. Abdominal thrusts can cause injury to the internal organs. The appropriate technique is back blows and chest thrusts for infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Clostridium difficile requires contact precautions because it spreads through direct contact with contaminated surfaces or infected individuals. The organism produces spores that can survive on surfaces for long periods, making it highly contagious. Contact precautions help prevent the transmission by using protective equipment such as gloves and gowns and ensuring proper hand hygiene with soap and water.
Choice B rationale
Streptococcal pharyngitis, also known as strep throat, primarily spreads through respiratory droplets rather than direct contact. Therefore, contact precautions are not typically required.
Choice C rationale
Haemophilus influenzae spreads through respiratory droplets rather than direct contact. Droplet precautions are more appropriate to prevent its transmission, rather than contact precautions.
Choice D rationale
Mycoplasma pneumoniae also spreads through respiratory droplets and does not typically require contact precautions. Droplet precautions are more suitable for preventing its transmission.
Correct Answer is A
Explanation
Choice A rationale
Palpating the groin area is the correct method to check for an inguinal hernia. An inguinal hernia occurs when a portion of the intestine protrudes through a weak spot in the abdominal muscles into the groin area. This area should be carefully examined to identify any bulges or abnormalities that indicate a hernia.
Choice B rationale
Palpating the abdomen may be useful for identifying other conditions, such as abdominal distension or masses. However, it is not the most appropriate site for detecting an inguinal hernia, which specifically involves the groin area.
Choice C rationale
Palpating the lower back is not relevant for detecting an inguinal hernia. The lower back is not a common site for hernias, and examining this area would not provide information about the presence of an inguinal hernia.
Choice D rationale
Palpating the upper thigh is not the correct method to check for an inguinal hernia. While the inguinal region is located near the upper thigh, the hernia itself protrudes into the groin area. The upper thigh does not provide the necessary information to identify an inguinal hernia.
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