Nokea
What emergency action should be implemented for airway obstruction in the infant?
- A. Six to 10 midsternal thrusts
- B. Five back blows followed by five chest thrusts
- C. Five chest thrusts followed by five back blows
- D. Abdominal thrusts until the object is expelled
Correct Answer: B
Rationale: Five back blows followed by five chest thrusts is the standard intervention for infant airway obstruction.
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What factor does the nurse explain affects the infant's physiological response to medications?
- A. Faster metabolism in the liver
- B. Slower intestinal transit
- C. Immature kidney function
- D. Increased secretion of hydrochloric acid
Correct Answer: C
Rationale: Immature kidney function in infants under 1 year hinders effective drug excretion, affecting response.
Which intervention will the nurse implement when suctioning a tracheostomy?
- A. Suction for two to three breaths.
- B. Clear the catheter with water after suctioning for reuse.
- C. Apply suction for no more than 15 seconds.
- D. Establish a regular schedule for suctioning.
Correct Answer: C
Rationale: Limiting suction to 15 seconds prevents hypoxia and tissue damage during tracheostomy suctioning.
Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure?
- A. Purpose of the procedure
- B. Risks associated with the procedure
- C. That no suit can be brought for damages
- D. That the document must be signed and witnessed
- E. That information was given
Correct Answer: A,B,D,E
Rationale: Informed consent ensures understanding of the procedure's purpose, risks, information provided, and the need for a signed, witnessed document.
How would the nurse teach the parent to best administer an oral suspension?
- A. Pour the medication into a small cup and allowing the infant to drink it.
- B. Place the medication in a nipple and having the infant suck the nipple.
- C. Use an oral syringe and placing the medication in the side of the infant's mouth.
- D. Administer the medication with a dropper onto the back of the infant's tongue.
Correct Answer: C
Rationale: Using an oral syringe to place medication in the side of the mouth ensures accurate dosing and safe administration.
How often should a child who has a continuous intravenous infusion should be assessed?
- A. Hourly
- B. Every 2 hours
- C. Every 3 hours
- D. Every 4 hours
Correct Answer: A
Rationale: Hourly assessments are necessary to monitor for complications like inflammation or infiltration.