The caregiver discovers a 6monthold infant unrespo

Question 1 of 5

The caregiver discovers a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the infant is still not breathing, what action should the caregiver take?

A. Palpate femoral pulse and check for regularity. B. Deliver cycles of 30 chest compressions and 2 breaths. C. Give two breaths that make the chest rise. D. Feel the carotid pulse and check for adequate breathing.

Correct Answer: C

Rationale: Providing two breaths that make the chest rise is the correct action in this situation. This helps to deliver oxygen to the infant's lungs and body, which is crucial in a situation where the infant is not breathing. Chest rise indicates successful ventilation, and it is an essential step in pediatric resuscitation, especially for infants.

Question 2 of 5

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

A. Describe the side-lying, knees to chest position that must be assumed during the procedure. B. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 or 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?

A. Bilateral bronchial breath sounds. B. Diaphragmatic respiration. C. A resting respiratory rate of 35 breaths per minute. D. Flaring of the nares.

Correct Answer: D

Rationale: Flaring of the nares is a classic sign of acute respiratory distress in infants. It indicates increased work of breathing and is a visible cue that the child is struggling to breathe. This finding should alert healthcare providers to the severity of the respiratory distress and the need for prompt intervention to support the child's breathing.

Question 4 of 5

What should the nurse do first for a 6-year-old with asthma showing a prolonged expiratory phase, wheezing, and 35% of personal best peak expiratory flow rate (PEFR)?

A. Administer a prescribed bronchodilator. B. Encourage the child to cough and take deep breaths. C. Report the findings to the healthcare provider. D. Identify the triggers that precipitated this attack.

Correct Answer: A

Rationale: Administering a bronchodilator is the priority action in managing an acute asthma exacerbation in a child. Bronchodilators help to relax the muscles around the airways, opening them up and improving breathing. This intervention aims to address the immediate breathing difficulty and should be done promptly to provide relief for the child.

Question 5 of 5

The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?

A. Turn the infant on the left side braced against the crib when sleeping. B. Prop the infant in a sitting position with a cushion when not sleeping. C. Place a small pillow under the infant's head while lying on the back. D. Position the infant on the stomach occasionally when awake and active.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The caregiver discovers a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the infant is still not breathing, what action should the caregiver take?

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