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
New onset lethargy in a child with endocarditis is concerning and could indicate worsening of the infection, possibly leading to heart failure or other complications. This needs immediate assessment and intervention.
Choice B rationale
Erythema of the lips is a common symptom in Kawasaki disease and, while it needs monitoring, it is not typically an immediate emergency.
Choice C rationale
An increased erythrocyte sedimentation rate is an indication of inflammation but is expected in rheumatic fever and does not necessitate immediate intervention.
Choice D rationale
Weak pedal pulses are a characteristic of coarctation of the aorta but are typically a chronic finding that does not require immediate emergency action unless accompanied by other symptoms. .
Correct Answer is C
Explanation
Choice A rationale
Avoiding participation in school sports is not recommended for children with asthma. Regular physical activity is important for overall health, and with proper management, children with asthma can safely engage in sports. Exercise-induced asthma can be controlled with pre-exercise medication and an asthma action plan, allowing children to remain active without exacerbating their condition.
Choice B rationale
The correct technique for using a peak flow meter involves inhaling deeply and then exhaling quickly and forcefully, not inhaling deeply and quickly. This instruction is incorrect and could lead to improper use of the device, affecting the accuracy of peak flow measurements. Accurate use of the peak flow meter is essential for monitoring asthma control.
Choice C rationale
Pneumococcal immunization is recommended for children with asthma because they are at an increased risk of respiratory infections, which can trigger asthma exacerbations. The vaccine helps protect against pneumococcal bacteria, reducing the likelihood of serious respiratory complications and supporting overall asthma management.
Choice D rationale
Salmeterol is a long-acting beta-agonist used for the maintenance treatment of asthma. It is not intended for managing acute exacerbations. For acute asthma attacks, short-acting bronchodilators such as albuterol are recommended to provide quick relief of symptoms. Using salmeterol for acute exacerbations could result in inadequate asthma control.
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