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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
- Convert the infant's weight from pounds to kilograms: 22 Ib / 2.2 = 10 kg
- Calculate the daily dose of azithromycin: 10 mg/kg/day x 10 kg = 100 mg/day
- Calculate the volume of azithromycin oral suspension needed: 100 mg/day / (200 mg/5 mL) = 2.5 mL/day
- Round the answer to the nearest tenth: 2.5 mL/day
- The nurse should plan to administer 2.5 mL of azithromycin oral suspension to the infant.
Correct Answer is D
Explanation
Choice A reason:
A temperature of 37.7° C (99.9° F) is slightly elevated but not a cause for immediate concern after immunization. It can be a normal response.
Choice B reason:
Redness at the injection site is a common and expected reaction after immunization. It does not require immediate intervention.
Choice C reason:
Prolonged crying can occur after immunization, but it is not a priority over a potential allergic reaction indicated by hives.
Choice D reason:
Hives on the child's neck indicate a potential allergic reaction to the immunization. This is a priority finding and requires immediate attention from the nurse.
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