Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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Your colleague at the emergency department asks for help to triage the following patients. Which patient should be attended immediately?
  1. An infant with respiratory rate of 30 beats per minute
  2. An infant with blood pressure of 74/85 mmHg
  3. An infant with cardiac rate of 57 beats per minute
  4. An infant with rectal temperature of 99.4°F
Explanation
Answer - C - The patient that should be attended immediately is an infant with cardiac rate of 57 beats per minute. The normal cardiac rate for infants is 80-150 beats per minute. Bradycardia is a sign of severe hypoxia and respiratory failure. This patient could be in cardiac arrest primarily due to hypoxemia secondary to inadequate circulation.
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