CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A newly hired nurse asks her nurse supervisor what to do when an apnea monitor sounds an alarm ten seconds after cessation of respirations. The nurse supervisor should respond that she should first:

Use tactile stimuli on chest or extremities
Assess skin color and respirations
Check the device for signs of malfunction
Resuscitate with face mask and Ambu bag

Explanation

Answer - A - The nurse supervisor should respond that she should first use tactile stimuli on chest or extremities. The nurse should apply tactile stimulation first after validating that respirations are absent; this action may be sufficient to reestablish respirations in the high-risk neonate with frequent episodes of apnea.

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