Author Question: The nurse is assessing an infant's nose and sinuses. Which tool will the nurse require to complete ... (Read 48 times)

jasdeep_brar · **on:** Jun 25, 2018

The nurse is assessing an infant's nose and sinuses. Which tool will the nurse require to complete this exam?

1. A nasal speculum
2. A flashlight
3. A water-soluble lubricant
4. Tongue blades

Question 2

The unlicensed assistive personnel (UAP), a student nurse working as a certified nursing assistant, informs the nurse that the client is dyspneic,

has crackles throughout the lung fields bilaterally, has an oxygen saturation of 94, has a respiratory rate of 52, and is in respiratory distress. Which action by the nurse is the most appropriate?
1. Notify the health care provider.
2. Call the rapid response team.
3. Instruct the UAP to administer oxygen.
4. Assess the client.

kaylee05 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

When examining the nose of an infant, the nurse uses a flashlight. A nasal speculum is usually not necessary, because the tip of the nose can be pushed upward with the thumb. A lubricant or tongue blades would not be necessary.

Answer to Question 2

Correct Answer: 4

Whereas the UAP is a student nurse who might be knowledgeable and skilled in assessing clients, the nurse is ultimately responsible and accountable for the client's care, and should assess the client prior to acting on the information provided by the UAP. Only after performing an independent assessment could the nurse effectively determine what intervention is needed.