While observing a mother bottle feeding a 4-month-old, the infant starts to choke.
Which action should the practical nurse (PN) take first?
Immediately suction the infant's mouth with a bulb syringe.
Monitor the infant's respirations for 15-seconds.
Have the mother turn the infant over and perform three back-blows.
Have the mother stop the feeding and sit the infant upright.
The Correct Answer is C
Choice A rationale
While suctioning with a bulb syringe may be indicated for secretions, in an active choking episode with a foreign body obstruction, it is not the immediate first action. Back-blows are more effective at dislodging the obstructing object by increasing intrathoracic pressure and creating an artificial cough.
Choice B rationale
Monitoring respirations for 15 seconds is a delay in critical intervention for an infant actively choking. An infant who is choking requires immediate, active intervention to clear the airway and restore effective breathing, as prolonged airway obstruction can quickly lead to hypoxia and cardiac arrest.
Choice C rationale
In a choking infant, the immediate and most effective first action is to perform three back-blows. This maneuver utilizes gravity and rapid increases in intrathoracic pressure to dislodge the foreign object from the airway, aiming to clear the obstruction quickly and restore ventilation.
Choice D rationale
Stopping the feeding and sitting the infant upright might be appropriate if the infant is merely gagging or coughing, but for active choking, this action alone is insufficient to dislodge an aspirated object. Active intervention like back-blows is required to overcome the obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Applying a dry diaper over the PUC bag is a routine step after placement but is not the most important action for checking placement. While necessary for hygiene and containing urine, it does not directly verify the correct anatomical positioning of the collection bag, which is crucial for accurate and contamination-free urine collection in infants.
Choice B rationale
Ensuring the bag's adhesive is secured to the true perineum is the most critical action. Proper placement on the true perineum (the anatomical region between the thighs, encompassing the anus and external genitalia) ensures that urine directly enters the collection bag, preventing contamination from stool or skin flora, and allowing for an accurate and sterile urine sample.
Choice C rationale
Calculating the infant's fluid intake is a separate nursing responsibility related to overall fluid balance and hydration status. It is not directly related to checking the correct placement of a pediatric urine collection bag. While fluid intake influences urine output, it does not provide information about the anatomical accuracy of the bag's application.
Choice D rationale
Asking the mother when the infant previously voided provides historical information about the infant's voiding pattern. While helpful for anticipating when the infant might void again, this information does not confirm the current, proper placement of the urine collection bag. The physical verification of adhesive placement is paramount for effective collection.
Correct Answer is ["0.3"]
Explanation
Step 1 is to convert the child's weight from pounds to kilograms. 66 pounds ÷ 2.2 pounds/kg = 30 kg.
Step 2 is to calculate the total dose in milligrams. 0.01 mg/kg × 30 kg = 0.3 mg.
Step 3 is to calculate the volume to administer in milliliters. 0.3 mg ÷ (1 mg/mL) = 0.3 mL.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.