A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Brachial artery
Radial artery
Apex of the heart
Carotid artery
The Correct Answer is A
Rationale:
A. The brachial artery is commonly used to assess the heart rate in infants due to its accessibility and the ease of palpation in smaller limbs.
B. The radial artery is not typically used in infants because it is less accessible and not as easily palpated in this age group.
C. While the apex of the heart is where heart sounds are best auscultated, it is not used to palpate the pulse in infants.
D. The carotid artery is not typically used for assessing the heart rate in infants due to the risk of applying excessive pressure.
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Correct Answer is C
Explanation
Rationale:
A. Wrist restraints might not be appropriate for a very young infant as they may not adequately prevent the infant from reaching the mouth.
B. Jacket restraints are generally used for older children and are not appropriate for very young infants.
C. Elbow restraints are typically used for infants following oral surgeries to prevent them from putting their hands to their mouth, which is important in the case of cleft lip and palate repairs.
D. Mummy restraints are more commonly used for procedural immobilization rather than for postoperative care.
Correct Answer is A
Explanation
Rationale:
A. Positioning the child laterally (on their side) is important to maintain an open airway and prevent aspiration during a seizure.
B. Restraining the child's arms is not recommended and could cause injury.
C. Using a padded tongue blade is not advised and could cause harm; the focus should be on protecting the child from injury.
D. Attempting to stop the seizure is not effective; instead, focus on ensuring safety and providing appropriate medical care.