When starting a peripheral intravenous (IV) infusion on an infant, which intervention should the nurse implement?

Select a site that is least restrictive to the infant.

Assess dorsal surface of feet for an IV site.

Instruct parents to sing or croon to the infant.

Apply soft restraints to all four extremities.

Answer and Explanation

The Correct Answer is A

Peripheral intravenous (IV) infusion is a common procedure performed on infants in a hospital setting. The selection of the IV site is critical to ensure proper placement and to prevent complications.

When starting a peripheral IV infusion on an infant, the nurse should select a site that is least restrictive to the infant. This involves selecting a site that will not restrict the infant's movement and cause discomfort. The site should be accessible, visible, and easily palpable, such as the hand, wrist, or antecubital fossa.

Assessing the dorsal surface of the feet for an IV site is not recommended as it is an area of high risk for infiltration and may restrict the infant's movement.

Instructing parents to sing or croon to the infant may provide comfort and distraction, but it is not a critical intervention when starting a peripheral IV infusion.

Applying soft restraints to all four extremities is not recommended as it may cause physical and emotional distress to the infant. It should only be used as a last resort if the infant is at high risk of self-injury or if the procedure cannot be safely performed without restraints.

Therefore, the nurse should implement the intervention of selecting a site that is least restrictive to the infant when starting a peripheral IV infusion.

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Correct Answer is C

Explanation

The nurse should report chest pain to the healthcare provider immediately when caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Chest pain can be a sign of acute chest syndrome, a potentially life-threatening complication of sickle cell disease that requires prompt treatment.

Swelling in the hands or feet, ulcers on the legs, and jaundice are common symptoms of sickle cell disease and do not require immediate reporting to the healthcare provider.

A. Take the child to a hair salon for a shampoo and a shorter haircut. B. Dispose of the child's brushes, combs, and other hair accessories. C. Rewash the child's hair following a 24-hour isolation period. D. Wash the child's bed linens and clothing in hot soapy water.

Correct Answer is D

Explanation

The nurse should instruct the parents to wash the child's bed linens and clothing in hot soapy water to kill any remaining head lice and prevent reinfestation. The child's brushes, combs, and other hair accessories should also be washed in hot soapy water or disposed of. Taking the child to a hair salon for a shampoo and a shorter haircut is not necessary for treatment of head lice. Rewashing the child's hair following a 24-hour isolation period is not necessary if the permethrin shampoo has been used as directed.

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When starting a peripheral intravenous (IV) infusion on an infant, which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

Correct Answer is C

Explanation

A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?

Correct Answer is D

Explanation

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