A nurse is caring for a client who becomes unresponsive. While administering CPR, which of the following actions should the nurse take?
Complete two cycles of compression/rescue breathing before attaching the automated external defibrillator (AED).
Check for a brachial pulse.
Provide chest compressions at a rate of 100/min.
After a set of 50 compressions, give the client 2 rescue breaths.
The Correct Answer is C
Choice A reason: While early CPR is crucial, the AED should be attached as soon as it is available to analyze the heart rhythm and provide a shock if needed. Delaying the use of the AED can reduce the chances of successful resuscitation.
Choice B reason: In adults, the carotid pulse is typically checked, not the brachial pulse. The brachial pulse is more commonly assessed in infants.
Choice C reason: The correct answer is c because providing chest compressions at a rate of 100-120 compressions per minute is the recommended rate for effective CPR. High-quality chest compressions are essential for maintaining circulation during cardiac arrest.
Choice D reason: The recommended ratio of chest compressions to rescue breaths is 30:2, not 50:2. Performing 50 compressions before providing rescue breaths is not aligned with current CPR guidelines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Taking a laxative the day before an IVP is a common preparation to clear the intestines for better imaging. This statement does not require additional data collection.
Choice B reason: The correct answer is b because taking metformin before an IVP can increase the risk of lactic acidosis, a serious complication. Metformin should be temporarily discontinued before and after the procedure, and the nurse should gather more information to manage the client’s diabetes safely.
Choice C reason: Fasting before an IVP is standard procedure to ensure clear imaging. This statement does not require additional data collection.
Choice D reason: Painful voiding may be related to kidney stones but is not a contraindication for an IVP. This statement does not require additional data collection.
Correct Answer is C
Explanation
Choice A reason: Keeping a tongue stud in during surgery poses a risk of aspiration and is not allowed. All body piercings should be removed before surgery to ensure safety.
Choice B reason: Consuming clear liquids up to the time of surgery is not allowed. Clients are typically required to fast for a certain period before surgery to prevent aspiration during anesthesia.
Choice C reason: The correct answer is c because allowing the client to keep her hearing aids in helps facilitate communication until the last possible moment before surgery. This helps reduce anxiety and ensures the client understands preoperative instructions.
Choice D reason: Taking morning vitamins before surgery is not recommended, as clients are usually required to fast. Medications, including vitamins, should be reviewed and managed by the healthcare provider.
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