A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

A. Performing a head tilt and chin lift is typically used in resuscitation for unresponsive infants, not for choking. It is not effective in clearing an obstructed airway in a conscious or choking infant.

B. Placing the infant in a side-lying position and performing abdominal thrusts is incorrect. Abdominal thrusts are not recommended for infants. Back blows and chest thrusts are used to clear an infant's airway.

C. Suctioning with a bulb syringe is appropriate for clearing mucus or secretions from the airway, but it would not be effective for a choking infant. The first action should be to attempt back blows or chest thrusts.

D. Delivering back blows with the infant face down over the rescuer’s arm is the correct initial action. The infant should be supported by the arm, and back blows should be administered to try to expel the obstruction from the airway. This is the first step in the infant choking protocol.

A. A hot spot on the cast may indicate localized infection. When the skin underneath the cast becomes infected, it can lead to localized warmth, tenderness, and redness. It is important to promptly assess and address the situation, as infections can progress quickly in these circumstances.

B. General edema of the toes is a common response to immobilization and injury, but it does not specifically indicate infection. It is more likely related to inflammation or impaired circulation from the cast.

C. Pruritus (itching) under the cast can occur due to the skin's reaction to the cast material, dryness, or moisture accumulation, but it is not necessarily an indication of infection.

D. Pain at the fracture site is common and expected as the fracture heals, but it alone is not an indication of infection unless associated with other symptoms like fever, warmth, or drainage.