A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?
The client is grasping his abdomen.
The client is coughing.
The client cannot speak.
The client is hyperventilating.
The Correct Answer is C
A. The client is grasping his abdomen: Grasping the abdomen may indicate pain or cramping, not necessarily airway obstruction.
B. The client is coughing: Effective coughing suggests that the airway is partially open and the client is moving air, meaning abdominal thrusts are not required.
C. The client cannot speak: Inability to speak or cough is a sign of complete airway obstruction, indicating the need for abdominal thrusts.
D. The client is hyperventilating: Rapid breathing is not a typical sign of choking and does not warrant abdominal thrusts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Deliver two quick short breaths into the patient's airway: Rescue breaths are not performed until airway patency and circulation are assessed.
B. Tilt the head by placing one hand on the forehead and lift the chin: This technique opens the airway but should follow calling for help and basic assessment.
C. Call for help or, if there is assistance, have that person get help: Activating emergency services is critical for obtaining additional life-saving resources.
D. Position the fingers over the carotid artery to feel for a pulse: Pulse checks come after calling for help in the Basic Life Support (BLS) algorithm.
Correct Answer is A
Explanation
A. Oxygen diffuses across the alveolar membrane into the blood: This is the primary function of the respiratory system, ensuring oxygenation of blood.
B. The alveoli have cilia that help remove foreign particles: Cilia are present in the respiratory tract, but not in the alveoli.
C. The diaphragm controls respiration: The diaphragm assists with breathing but does not "control" respiration, which is regulated by the brainstem.
D. The bronchioles contain macrophages that phagocytize inhaled bacteria: Macrophages are found in alveoli, not the bronchioles.
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