The nurse suspects a 3-year-old child who is coughing vigorously ...

[genevieve1028]

The nurse suspects a 3-year-old child who is coughing vigorously has aspirated a small object. Which action should the nurse take first?
 
  a. Encourage the child to continue coughing.
  b. Deliver upward abdominal thrusts with a fisted hand.
  c. Deliver five rapid back blows between the shoulder blades.
  d. Perform a blind finger sweep of the child's mouth.

Question 2

Which aspect of restraint use can the nurse delegate to the nursing assistive personnel?
 
  a. Assessing the patient's status
  b. Determining the need for restraint
  c. Evaluating the patient's response to restraints
  d. Applying and removing the restraints

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Answer to Question 1

A
If the nurse suspects aspiration in a child who is coughing vigorously, the nurse should encourage the child to continue coughing. If coughing weakens, the nurse should perform the choking maneuver by administering five rapid back blows alternated with five upward thrusts to the upper abdomen with a fisted hand, just below the rib cage. A blind finger sweep should never be performed because it could push the foreign object into the airway.

Answer to Question 2

D
The nurse can delegate applying and removing the restraints, skin care, and checking for skin breakdown. The nurse responsible for care of the patient must assess the patient's need for restraint and the patient's status and must evaluate the patient's response to restraints.

[genevieve1028]

TYSM

[mjenn52]

Excellent