A nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?

The client is coughing only.

The client is not making any sounds.

The client is able to whisper.

The client has a high-pitched inspiratory stridor.

Answer and Explanation

The Correct Answer is B

A. A client who is coughing only is still able to clear the airway by themselves.
B. Inability to make any sounds indicates a complete airway obstruction, requiring the Heimlich maneuver.
C. A client who can whisper has a partial airway obstruction and should be encouraged to continue coughing.
D. A high-pitched inspiratory stridor indicates a partial obstruction, not requiring the Heimlich maneuver but close monitoring.

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Correct Answer is B

Explanation

A. Metabolic alkalosis is characterized by an elevated HCO3 and pH.
B. Metabolic acidosis is indicated by a low HCO3 (18 mEq/L) and a low pH (7.30). The low PaCO2 is a compensatory response.
C. Respiratory acidosis is indicated by an elevated PaCO2 and a low pH.
D. Respiratory alkalosis is indicated by a low PaCO2 and an elevated pH.

A. Serum creatinine 0.8 mg/dL B. A severe allergy to amoxicillin C. A recent history of diarrhea for 3 days D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride

Correct Answer is B

Explanation

A. A serum creatinine level of 0.8 mg/dL is within the normal range and does not contraindicate the administration of cefoxitin.
B. A severe allergy to amoxicillin indicates a potential cross-allergy with cephalosporins like cefoxitin, making it a contraindication for administration.
C. A recent history of diarrhea is not typically a contraindication for administering cefoxitin, unless it is severe or related to a specific infectious cause.
D. A history of phlebitis from a previous IV infusion is not a contraindication for cefoxitin unless it suggests an intolerance to certain infusion components.

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A nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has the following arterial blood gas results: HCO, 18 mEq, PaCO2 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is B

Explanation

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