A nurse is preparing to measure an infant’s vital signs. The nurse should use which of the following sites to assess a heart rate?

Radial artery

Brachial artery

Apex of the heart

Carotid artery

Answer and Explanation

The Correct Answer is C

A. The radial artery is commonly used for assessing the pulse in older children and adults but is less reliable in infants.

B. The brachial artery is often used to measure blood pressure in infants, but it may not be as accurate for heart rate assessment.

C. The apex of the heart (apical pulse) is the preferred site for assessing the heart rate in infants.

It is located at the point of maximal impulse (PMI).

D. The carotid artery is typically not used for routine assessment of the heart rate in infants

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Correct Answer is C

Explanation

A. Children may display cheating behavior in board games as part of normal development and competitive play.

B. Acting bossy with friends is a common behavior in some children and is not necessarily a cause for concern.

C. Squinting to see the board may indicate a vision problem, and it is important for the child to have an eye examination to address potential visual impairments.

D. Losing front top teeth is a normal part of the developmental process as primary teeth are replaced by permanent teeth.

A. Place the child on droplet precautions. B. Assist with obtaining an x-ray of the child's neck. C. Administer 0.9% sodium chloride IV solution. D. Initiate IV antibiotics

Correct Answer is A

Explanation

A. Placing the child on droplet precautions is the first priority to prevent the potential spread of infection, as epiglottitis is often caused by bacterial infection.

B. While obtaining an x-ray may be part of the diagnostic process, the immediate concern is to prevent the spread of infection.

C. Administering IV fluids may be necessary, but placing the child on droplet precautions takes precedence.

D. Initiating IV antibiotics is an essential treatment for epiglottitis, but placing the child on droplet precautions is the initial step to prevent transmission to healthcare providers and other patients.

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A nurse is preparing to measure an infant’s vital signs. The nurse should use which of the following sites to assess a heart rate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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