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","B","D"]
Explanation
Choice A rationale: Administering intravenous dextrose as prescribed is crucial to rapidly raise the newborn's blood glucose level from the critically low value of 35 mg/dL. This intervention addresses the immediate risk of hypoglycemia and helps stabilize the newborn's metabolic status.
Choice B rationale: Warming the newborn using skin-to-skin contact promotes thermoregulation, which is essential for maintaining body temperature and overall stability. Keeping the newborn warm supports metabolic processes and aids in reducing the risk of hypoglycemia and other complications.
Choice C rationale: Administering phototherapy immediately is not necessary unless bilirubin levels are significantly elevated. The primary concern here is hypoglycemia, not hyperbilirubinemia.
Choice D rationale: Monitoring blood glucose levels every 30 minutes ensures that the interventions to correct hypoglycemia are effective. Frequent monitoring helps identify any need for further adjustments to treatment.
Choice E rationale: Administering antibiotics to treat suspected neonatal sepsis is not indicated based on the current symptoms and diagnostic results. The primary issue is hypoglycemia, which requires prompt correction.
Correct Answer is D
Explanation
Choice A rationale
Shigella is a bacterial infection, not a viral one; therefore, antiviral medication would be ineffective in treating it.
Choice B rationale
Antidiarrheal agents are generally not recommended for shigella because they can prolong the infection by slowing the elimination of the bacteria from the intestines.
Choice C rationale
A diet high in sodium is not relevant to the treatment of shigella. The focus should be on preventing dehydration through appropriate fluid replacement.
Choice D rationale
Maintaining oral rehydration therapy is essential for managing shigella as it helps prevent dehydration caused by diarrhea, which is a common symptom of the infection.
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