The mother of a toddler yells to the nurse." Help! He is choking to death on his food." The nurse determines that lifesaving measures are necessary based on which of the following?
Coughing
inability to speak
Gagging
Pulse of 100 beats per minute
The Correct Answer is B
A. Coughing indicates a normal protective mechanism when the toddler is attempting to dislodge and cough out the food.
B. Inability to speak is a significant sign of choking and indicates that the airway is nearly completely obstructed.
C. Gagging shows that the toddler is partially obstructed and still attempting to dislodge the food
D. Pulse of 100 Beats per minute is not a direct indicator of choking.
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Related Questions
Correct Answer is C
Explanation
A. This statement does not directly relate to meeting the nutritional needs of an infant with heart failure. Also, setting a specific time limit on crying before feeding may not always be practical or effective.
B. Infants with heart failure may have increased energy needs due to the increased work of the heart. Feeding on demand or more frequently may be necessary to meet the infant's nutritional requirements.
C. In heart failure, infants may tire easily during feeding due to fatigue from poor cardiac function. Allowing the baby to feed at their own pace can help prevent exhaustion and ensure adequate intake.
D. Polycose is a carbohydrate supplement that may be used to increase the caloric density of formula or breast milk for infants with heart failure who require additional calories. Adding Polycose to every bottle may not be appropriate.
Correct Answer is B
Explanation
To calculate the appropriate dosage of amoxicillin for the toddler; Given:
Weight of the toddler = 20 kg
Recommended dosage range = 20 to 25 mg/kg/day Calculate the total daily dose:
Minimum recommended dosage = 20 mg/kg/day Maximum recommended dosage = 25 mg/kg/day
Minimum total daily dose = 20 mg/kg/day × 20 kg = 400 mg/day Maximum total daily dose = 25 mg/kg/day × 20 kg = 500 mg/day
The prescribed dosage is 100 mg every 8 hours, which means 300 mg per day (100 mg × 3 times a day). As 300 mg is below the minimum recommended total daily dose (400 mg) for a toddler weighing 20 kg, the nurse should determine that the prescribed dosage is insufficient to achieve the desired effect.
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