A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

Move the infant into an upright position and suction the airway with a bulb syringe.

Deliver back blows with the infant face down over the rescuer's arm.

Place the infant in a side-lying position and perform abdominal thrusts.

Perform a head tilt and a chin lift and then give two rescue breaths.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Using a bulb syringe for suctioning is not the appropriate intervention for a choking infant. This may not effectively clear the airway obstruction.

Choice B reason:

Delivering back blows with the infant face down over the rescuer's arm is the recommended action for relieving a choking episode in an infant. This helps to dislodge the obstruction from the airway.

Choice C reason:

Placing the infant in a side-lying position and performing abdominal thrusts is the intervention for a conscious infant who is choking. This is not the appropriate action for an infant showing circumoral cyanosis.

Choice D reason:

Performing a head tilt and chin lift followed by giving rescue breaths is the procedure for providing rescue breaths in infant CPR. It is not the initial intervention for a choking infant.

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Correct Answer is A

Explanation

Choice A reason:

At 18 months, a toddler should typically be saying more than four words. This finding may

indicate a potential delay in speech development, and it should be reported to the provider for further evaluation.

Choice B reason:

Building a tower of three blocks is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

Choice C reason:

Temper tantrums are a normal behavior for toddlers, as they are still developing emotional regulation skills. This finding does not require reporting unless it is severe or causing harm to the child.

Choice D reason:

Jumping in place with both feet is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

A. Give pain medications on a schedule. B. Initiate contact isolation. C. Offer clear liquids. D. Maintain strict bed rest.

Correct Answer is A

Explanation

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

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A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an 18-month-old toddler. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a child who is 12 hr postoperative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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