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 A

Explanation

The boy's reported symptoms may indicate stress or anxiety related to his school experience. By asking the boy to describe a typical day at school, the nurse can gather information about the child's interactions with teachers and peers, academic performance, and any other potential sources of stress. This information can be used to develop an appropriate plan of care that addresses the child's emotional and physical needs.

Comparing vital signs or conducting a neurological assessment may not provide useful information in this case, and counseling the parents to pay more attention to the child is not a recommended intervention without first identifying the underlying cause of the child's symptoms.

A. Advise the mother that overuse of the drug may cause chronic bronchitis. B. Assure the mother that she is using the medication correctly. C. Confirm that the medication helps to reduce airway inﬂammation. D. Recommend that the mother bring the child in for immediate evaluation.

Correct Answer is B

Explanation

Albuterol is a beta-adrenergic agonist agent that is used to open the airways in people with bronchial asthma. The mother's use of this medication to open her son's airway when he is having trouble breathing is appropriate. Overuse of the drug may cause side eﬀects, but it does not cause chronic bronchitis (A)

Albuterol helps to relax the muscles in the airways, but it does not reduce airway inﬂammation (C)There is no indication that the child needs immediate evaluation (D)

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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

A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?

Correct Answer is A

Explanation

A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open his son's airway when he is having trouble breathing. What is the nurse's best response?

Correct Answer is B

Explanation

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