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
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Temper tantrums are not indicative of a learning disability. They are a normal part of development in toddlers.
B. Leaving the room during a tantrum may not be the best approach, as it might lead to feelings of abandonment in the toddler.
C. Temper tantrums are common in toddlers and are not necessarily an indication for a psychological consult unless there are other concerning behaviors or developmental issues.
D. Temper tantrums are often a way for toddlers to express frustration, anger, or a desire for control when they cannot effectively communicate their needs or wants. Understanding this can help parents respond with patience and empathy.
Correct Answer is B
Explanation
A. Projectile vomiting in an infant could be indicative of a serious condition, and advising on burping may not be sufficient. A prompt assessment by a healthcare provider is needed.
B. Projectile vomiting can be a concerning sign and may be associated with conditions such as pyloric stenosis. Bringing the baby to the clinic for evaluation is the appropriate action.
C. Switching formula may not address the underlying cause of projectile vomiting, and it is crucial to determine the cause through a thorough examination.
D. While oral rehydration solution may be used for dehydration, the priority is to assess the infant in person to determine the cause of the vomiting.
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