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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Suctioning the nasopharynx as needed can help maintain airway patency but does not directly prevent aspiration during the recovery period.
B. Withholding fluids until the client demonstrates a gag reflex is a standard precaution to prevent aspiration, particularly in the immediate postoperative period.
C. Chest physiotherapy is not specifically indicated for preventing aspiration in the post- tonsillectomy period.
D. Placing a bedside humidifier at the head of the client's bed is not a specific intervention for preventing aspiration after tonsillectomy. Monitoring the client's ability to swallow and the return of the gag reflex is more relevant.
Correct Answer is C
Explanation
A. Cromolyn sodium is a preventive medication for asthma, but it is not typically used at the first sign of breathing difficulty.
B. The peak expiratory flow meter should be used regularly to monitor asthma control, not just once per week.
C. Avoiding triggers that cause an asthma attack is a crucial aspect of asthma management.
Identifying and minimizing exposure to triggers help prevent exacerbations.
D. Exercise is important for overall health, and many individuals with asthma can participate in physical activities, including basketball. The nurse should encourage the child to discuss appropriate physical activities with the healthcare provider.
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