The nurse determines that the infant is in respiratory arrest from an airway obstruction caused by a foreign object. Which does the nurse implement to clear the infant's airway?
1. Apply several back slaps followed by chest thrusts.
2. Aspirate the foreign object with a Yankauer suction tip.
3. Hold the child upside down and strike the anterior chest.
4. Hold the child on side and perform a blind finger sweep.
1
1. The best chance the nurse has to remove the foreign object from an infant's airway is to deliver back slaps followed by chest thrusts. This creates bursts of positive pressure in the infant's airway to loosen and expel the object.
2. The nurse avoids using a Yankauer suction tip because it is probably too big for the infant's airway and increases the risk of lodging the object more firmly in the airway.
3. Striking the child on the anterior chest is risky because it mimics chest compres-sions and, for an infant in sinus rhythm, risks causing an arrhythmia.
4. The American Heart Association does not recommend blind finger sweeps; how-ever if the object is visible, the rescuer can attempt to remove it if it can be removed without lodging the object in the airway more firmly.
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