Which is an appropriate action when an infant becomes apneic?
- A. Shake vigorously
- B. Roll head side to side
- C. Hold by feet upside down with head supported
- D. Gently stimulate trunk by patting or rubbing
Correct Answer: D
Rationale: When an infant becomes apneic (stops breathing), the appropriate action is to gently stimulate the trunk by patting or rubbing. This can help stimulate the infant to resume breathing. It is important to avoid any rough handling or shaking as this can cause harm to the infant. Rolling the head side to side or holding the infant by the feet upside down is not recommended in this situation and could potentially be dangerous. Gently stimulating the trunk is a safe and appropriate response to help the infant start breathing again.
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A 17-year-old student enters the emergency department with a nosebleed that won't quit. Which of the following positions is recommended for the patient with a nosebleed?
- A. Lying down with feet elevated
- B. Sitting up with neck extended
- C. Lying down with a small pillow under the head
- D. Sitting up leaning slightly forward
Correct Answer: D
Rationale: The recommended position for a patient with a nosebleed is sitting up and leaning slightly forward. This position helps prevent blood from flowing down the back of the throat, which can cause gagging, choking, or vomiting. Leaning forward also helps to prevent blood from accumulating in the sinuses, reducing the risk of aspiration. Additionally, this position allows easy access to apply pressure to the nostrils to help stop the bleeding. It is essential to avoid lying down or tilting the head back, as this can lead to swallowing blood and potentially cause further complications.
Acidosis in renal failure is more likely to be associated with which of the following:
- A. Hypochloremia
- B. Hypokalemia
- C. Hypernatremia
- D. Wide anion gap
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 32-week preterm baby on mechanical ventilation, recovering from RDS, has a satisfactory blood gas, and ventilatory settings are being reduced for weaning. What is the most valuable indicator that the baby is ready for extubation?
- A. frequency of respiration 35
- B. fraction of inspired O2 0.55
- C. peak expiratory end pressure 6
- D. inspiratory pressure 8
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Heimlich maneuver is used for which of the following purposes:
- A. Assessing if the child is breathing
- B. Expelling a foreign body in an unconscious child
- C. Chest compression in a large child
- D. Opening the airway in possible cervical spine injury
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of an infant with gastroesophageal reflux is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?
- A. Offer the infant feedings every 2 hours.
- B. Position the infant upright after feedings.
- C. Feed the infant thickened formula.
- D. Place the infant in a prone position after feedings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.