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?

Apex of the heart.

Brachial artery.

Radial artery.

Carotid artery.

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A.

Choice A rationale

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) and provides the most accurate measurement of the heart rate in this age group.

Choice B rationale

The brachial artery is not the preferred site for assessing the heart rate in infants. While it can be used for blood pressure measurement, it is not as accurate as the apical pulse for heart rate assessment.

Choice C rationale

The radial artery is not typically used for assessing the heart rate in infants. It is more commonly used in older children and adults.

Choice D rationale

The carotid artery is not recommended for assessing the heart rate in infants due to the risk of compressing the airway and causing discomfort.

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Correct Answer is ["A","C","E"]

Explanation

The correct answers are Choices A, C, and E.

Choice A rationale

Daytime symptoms occurring more than twice a week is an expected finding in mild persistent asthma. This indicates that the asthma is not well-controlled and requires regular use of a controller medication.

Choice B rationale

Nighttime symptoms occurring approximately twice a month is more characteristic of intermittent asthma, not mild persistent asthma.

Choice C rationale

Minor limitations with normal activity are expected in mild persistent asthma. This indicates that the asthma is affecting the child’s daily activities to some extent.

Choice D rationale

Symptoms that are continuous throughout the day are indicative of severe persistent asthma, not mild persistent asthma.

Choice E rationale

A peak expiratory flow (PEF) greater than or equal to 80% of the predicted value is an expected finding in mild persistent asthma. This indicates that the child’s lung function is relatively well-preserved. .

A. Obtain an influenza vaccine annually. B. Administer glucagon for hyperglycemia. C. Inject insulin in the deltoid muscle. D. Take glyburide with breakfast.

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Obtaining an influenza vaccine annually is crucial for individuals with type 1 diabetes mellitus. People with diabetes are at a higher risk of complications from infections, including influenza. The flu can lead to elevated blood sugar levels and potentially worsen diabetes control.

Therefore, getting the flu vaccine can help prevent or reduce the severity of the flu and its complications.

Choice B rationale

Administering glucagon is used for severe hypoglycemia, not hyperglycemia. Glucagon is a hormone that raises blood glucose levels by stimulating the liver to release stored glucose. It is typically used in emergency situations when a person with diabetes has very low blood sugar and is unable to consume sugar orally.

Choice C rationale

Insulin should be injected into subcutaneous tissue, not the deltoid muscle. The preferred injection sites for insulin are areas with more subcutaneous fat, such as the abdomen, thighs, buttocks, and upper arms. Injecting insulin into muscle tissue can lead to faster absorption and unpredictable blood glucose levels.

Choice D rationale

Glyburide is an oral medication used to treat type 2 diabetes, not type 1 diabetes. Type 1 diabetes requires insulin therapy because the body does not produce insulin. Glyburide works by stimulating the pancreas to release more insulin, which is not effective for individuals with type 1 diabetes who have little to no insulin production.

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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

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?

Correct Answer is A

Explanation

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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?