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
Lowering the temperature of the room can help provide comfort to the child and reduce fever symptoms in a non-invasive way.
Choice B rationale
Placing a child in an ice bath is not recommended as it can cause shivering and increase metabolic demand, which might worsen the condition.
Choice C rationale
Giving 500 mg of acetaminophen every 2 hours is not appropriate for a 2-year-old child due to potential overdose risks. The standard dosing interval is usually every 4-6 hours.
Choice D rationale
Administering aspirin to children is contraindicated due to the risk of Reye's syndrome, a serious condition that affects the liver and brain.
Correct Answer is D
Explanation
Choice A rationale
Providing cherry fruit juice is not recommended for a child immediately postoperative following a tonsillectomy. Red-colored fluids can be mistaken for blood if the child vomits, making it difficult to assess for postoperative bleeding. Clear or light-colored fluids are preferred.
Choice B rationale
Reminding the child to cough and deep breathe is not appropriate immediately postoperative following a tonsillectomy. Coughing can dislodge clots and increase the risk of bleeding at the surgical site. Encouraging gentle breathing exercises may be more suitable.
Choice C rationale
Encouraging the child to use a straw is not advised following a tonsillectomy. The use of a straw can create negative pressure in the mouth and throat, which may disrupt the surgical site and increase the risk of bleeding. Sipping from a cup is preferred.
Choice D rationale
Applying an ice collar can help reduce pain and swelling in the throat area following a tonsillectomy. Cold therapy is effective in providing comfort and minimizing inflammation, making it a beneficial intervention for postoperative care. .
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