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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Omega-3 fatty acids are beneficial for cardiovascular health.
B. Trans-fatty acids increase the risk of cardiovascular disease; this statement indicates a misunderstanding.
C. Regular exercise is known to increase HDL cholesterol, which is protective against cardiovascular disease.
D. Weight loss can help lower LDL cholesterol levels, reducing cardiovascular risk.
Correct Answer is C
Explanation
A. Labeling the feeding bag is important for ensuring the safety and monitoring of feeding times, but it is not the first action.
B. Hanging the feeding bag at the correct height ensures proper flow of the feeding but is not the first action.
C. Aspirating the client's stomach contents is the first action to check for residuals and ensure the placement of the NG tube is correct, preventing aspiration.
D. Warming the feeding to room temperature is important for client comfort but is not the first action.
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