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 D

Explanation

Choice A reason:

A sodium level of 140 mEq/L is within the normal range.

Choice B reason:

An iron level of 100 mcg/dL is within the normal range.

Choice C reason:

A calcium level of 9 mg/dL is within the normal range.

Choice D reason:

Correct. A hemoglobin level of 8 g/dL is lower than the normal range for a preschooler and should be reported to the provider for further evaluation. This may indicate anemia, which requires assessment and potential intervention.

A. Avoid discussing the child's diagnosis with the sibling. B. Designate one parent to stay at home with the sibling. C. Avoid having the sibling visit the child in the facility. D. Encourage phone calls between the siblings.

Correct Answer is D

Explanation

Choice A reason:

Avoiding discussing the child's diagnosis with the sibling may create unnecessary secrecy and could hinder the sibling's understanding and coping.

Choice B reason:

Designating one parent to stay at home with the sibling may not be necessary, as both parents can still provide support and care for both children.

Choice C reason:

Avoiding having the sibling visit the child in the facility may isolate them and prevent opportunities for bonding and support.

Choice D reason:

This statement is correct. Encouraging phone calls between the siblings allows them to maintain communication, express their feelings, and support each other during the separation caused by hospitalization.

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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

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