Cardiopulmonary resuscitation is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible?
a. Radial c. Femoral
b. Carotid d. Brachial
ANS: B
In a toddler, the carotid pulse is palpated. The radial pulse is not considered a central pulse. The femoral pulse is not the most central and accessible. The brachial pulse is felt in infants younger than 1 year.
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A patient in her first trimester of pregnancy is diagnosed with rubella. Which of these statements is correct regarding the significance of this in relation to the infant's hearing?
a. Rubella may affect the mother's hearing but not the infant's. b. Rubella can damage the infant's organ of Corti, which will impair hearing. c. Rubella is only dangerous to the infant in the second trimester of pregnancy. d. Rubella can impair the development of CN VIII and thus affect hearing.
The top priority in the initial treatment of diabetic ketoacidosis (DKA) is
a. lowering the blood sugar. b. giving fluids. c. giving sodium bicarbonate to reverse the acidosis. d. determining the reason for the DKA.
The nurse assesses that a newborn is of low birth weight, has distinctively malformed facial features, and is irritable and inconsolable. The nurse would review the mother's admission interview for which information?
1. Did the mother consume alcohol during the pregnancy? 2. Was preeclampsia a problem in the pregnancy? 3. Did the mother have problems becoming pregnant? 4. Does either the mother or father have heart defects?
A patient in heart failure has a decrease in glomerular filtration rate to 15 ml/min. The patient had been taking digoxin and hydrochlorothiazide. Given the change in the patient's status, what dosage alteration(s) would the nurse anticipate?
a. The medication doses would remain unchanged. b. The hydrochlorothiazide would be changed to furosemide. c. Spironolactone would be added to the digoxin and hydrochlorothiazide. d. No change should be necessary.