A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Perform CPR on the client.

Assist with airway intubation.

Maintain IV access.

Place defibrillator pads on the client.

Answer and Explanation

The Correct Answer is A

A. Perform CPR on the client:

CPR (Cardiopulmonary Resuscitation) is a critical and time-sensitive intervention during a cardiac arrest. An assistive personnel trained in CPR can initiate chest compressions while awaiting further medical assistance.

B. Assist with airway intubation:

Airway intubation is a more advanced skill typically performed by healthcare providers such as physicians or advanced practice nurses. It is beyond the scope of practice for most assistive personnel.

C. Maintain IV access:

Maintaining IV access may require specific skills and knowledge about medications and fluids. While some assistive personnel may be trained in certain aspects of IV care, the level of expertise needed during a cardiac arrest may be beyond their scope.

D. Place defibrillator pads on the client:

Applying defibrillator pads involves handling medical equipment and making critical decisions about when to deliver a shock. This task is typically performed by healthcare providers trained in advanced cardiac life support (ACLS).

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Free Nursing Study Resources

Correct Answer is ["2.1"]

Explanation

To calculate the total daily dose of tobramycin, we use the formula:

Total Daily Dose (mg) = Dose (mg/kg/day) × Weight (kg)
Total Daily Dose (mg)=Dose (mg/kg/day)×Weight (kg)

In this case:

Total Daily Dose=3 mg/kg/day × 85 kg
Total Daily Dose=255mg/day

Since the total daily dose is divided into three doses, the nurse should administer:

Dose per Administration =Total Daily Dose/Number of Doses per Day
Dose per Administration = 255 mg/3
Dose per Administration≈85mg

Now, to calculate the volume (mL) to administer, we use the concentration of the available tobramycin solution:

Volume (mL)=Dose per Administration (mg)/Concentration (mg/mL)

In this case:

Volume=85mg/40mg/mL
Volume≈2.1mL

Therefore, the nurse should administer approximately 2.1 mL of tobramycin per dose, rounded to the nearest tenth.

Correct Answer is ["38"]

Explanation

To calculate the IV flow rate in drops per minute (gtt/min), you can use the following formula:

Flow Rate (gtt/min)=(Volume (mL)/Time (min)) × Drop Factor (gtt/mL)

In this case:

Flow Rate = (150 mL/hr / 60 min/hr) × 15 gtt/mL

Flow Rate=37.5gtt/min

Therefore, the nurse should set the IV flow rate to deliver approximately 38 gtt/min for the dextrose 5% in water IV infusion at 150 mL/hr, rounded to the nearest whole number.

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A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2.1"]

Explanation

Correct Answer is ["38"]

Explanation

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