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 A
Explanation
A. Crushed ice is a cold and soothing option that can help reduce throat discomfort after tonsillectomy. It also provides hydration without irritation.
B. Orange juice is acidic and may cause discomfort or irritation to the surgical site. It is not recommended immediately after a tonsillectomy.
C. A vanilla milkshake may be too thick and could be irritating to the surgical site. Additionally, dairy products may increase mucus production.
D. Cranberry juice is acidic and may cause irritation to the surgical site. It is not the best choice for immediate postoperative hydration after tonsillectomy.
Correct Answer is C
Explanation
A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.
B. Contact precautions are not typically required for Wilms' tumor.
C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.
D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.
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