Nokea
A 6-month old infant has had a cardiac arrest and the rapid response team has been paged. The nurse arrives in the client's room and observes a physician assistant (PA) administering CPR to an infant (see figure). To assist the PA with CPR, the nurse should:
- A. Tell the PA to use the heel of the hand on the infant's sternum.
- B. Place one hand on the infant's sternum for chest compressions while the PA ventilates the lungs at a rate of one breath to every 5 compressions.
- C. Obtain an Ambu bag and give breaths at a rate of 2 breaths per 15 compressions.
- D. Encircle the infant's chest with the thumbs=on top to provide compression while the PA uses an Ambu bag to administer rescue breaths after every 15 compressions.
Correct Answer: C
Rationale: For an infant, the nurse should obtain an Ambu bag and deliver 2 breaths per 15 compressions, following pediatric CPR guidelines for 2-rescuer CPR.
You may also like to solve these questions
A parent of a child with a moderate head injury asks the nurse, 'How will you know if my child is getting worse?' The nurse should tell the parents that the best indicator of the child's brain function is:
- A. The vital signs.
- B. Level of consciousness.
- C. Reactions of the pupils.
- D. Motor strength.
Correct Answer: B
Rationale: Level of consciousness is the most sensitive indicator of brain function, reflecting changes in neurological status.
When assessing an infant with suspected inguinal hernia, which of the following findings would be most significant?
- A. The inguinal swelling is reddened, and the abdomen is distended.
- B. The infant is irritable, and a thickened spermatic cord is palpable.
- C. The inguinal swelling can be reduced, and the infant has a stool in the diaper.
- D. The infant's diaper is wet with urine, and the abdomen is nontender.
Correct Answer: B
Rationale: Irritability and a thickened spermatic cord suggest a hernia, indicating possible incarceration.
When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions should the nurse use?
- A. Mouthwash.
- B. Povidone-iodine (Betadine) solution.
- C. A mild antiseptic solution.
- D. Half-strength hydrogen peroxide.
Correct Answer: D
Rationale: Half-strength hydrogen peroxide is gentle and effective for cleaning the suture line without irritating the delicate tissue.
A 13-month-old has a febrile seizure one month after the administration of the chickenpox vaccine. The nurse should:
- A. Recognize that the events are unrelated.
- B. Report the event through the Vaccine Adverse Event Reporting System.
- C. Explain to the parents that this is a rare but acceptable risk.
- D. Report the incident through the vaccine manufacturer's hotline.
Correct Answer: B
Rationale: Febrile seizures post-vaccination should be reported to VAERS for monitoring vaccine safety.
When planning home care for the child with Legg-Calvé-Perthes disease, what should be the primary focus for family teaching?
- A. Need for intake of protein-rich foods.
- B. Little stretching exercises for both legs.
- C. Management of the corrective appliance.
- D. Relaxation techniques for pain control.
Correct Answer: C
Rationale: Management of the corrective appliance, such as a brace or traction, is the primary focus to ensure proper use and compliance, which is critical for treatment success.