When the victim is 8 years old boy the appropriate method to provide CPR is

NHM UP Staff Nurse-2021 Shift-2nd

Pediatric Nursing

Easy

Appeared in: NHM UP Staff Nurse-2021 Shift-2nd

Explanation

The one-hand technique is the standard method for performing chest compressions on children who are between 1 year of age and the onset of puberty.
For an 8-year-old boy, who falls into the 'child' category for CPR, the rescuer should use the heel of one hand placed on the lower half of the breastbone.
The objective is to compress the chest to a depth of approximately 5 cm (2 inches), which is about one-third of the chest's front-to-back diameter, to effectively circulate blood.

Option A: The thumb technique (specifically, the two-thumb-encircling-hands method) is the preferred technique for infants (under 1 year of age) when two rescuers are present.
Option B: The two-finger technique is used for providing chest compressions to infants (under 1 year of age), typically when there is only one rescuer.
Option D: The two-hand technique is the standard for adults and adolescents. While it can be used on a large child if one hand is insufficient, the one-hand technique is the primary method to start with for an 8-year-old.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain CPR Technique Selection Based on Age as background academic context rather than a clinical decision trigger.
Using the age-appropriate CPR technique is critical for delivering effective chest compressions that circulate oxygenated blood, while minimizing the risk of injury like rib fractures or damage to internal organs.
A nurse must be able to rapidly assess a victim's approximate age to initiate high-quality CPR without delay, as every second counts in a cardiac arrest situation.
What if? If the 8-year-old boy was exceptionally large for his age and the rescuer found that one hand was not enough to compress the chest to the required depth of 5 cm, the rescuer should then use two hands to ensure effective CPR.

How to Approach the Question

First, identify the key information in the question: the procedure (CPR) and the patient's characteristic (8 years old boy).
Recall the different CPR guidelines for the three main age groups: infants, children, and adults.
Categorize the 8-year-old victim as a 'child' according to Basic Life Support (BLS) protocols.
Match the 'child' category to the recommended chest compression technique, which is the one-hand method.
Evaluate the other options to confirm they are incorrect: 'Thumb' and 'Two finger' techniques are for infants, and the 'Two hand' technique is for adults or larger children.

Concept Tested & Keywords

Concept Tested: CPR Technique Selection Based on Age
Stem keywords: CPR, 8 years old boy, victim, appropriate method
Lead-in keywords: appropriate method
Clinical cues: Age of victim (8 years) is the primary factor for CPR technique selection.
Negative lead-in flag: false

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E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 763-765

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 610-612