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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)

Provide chest compressions at a rate of 100/min.

Check for a brachial pulse.

After a set of 50 compressions, give the client 2 rescue breaths.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

While it’s important to start CPR as soon as possible, the AED should be attached as soon as it’s available.

Choice B rationale:

The American Heart Association recommends providing chest compressions at a rate of 100-120/min during CPR.

Choice C rationale:

Checking for a brachial pulse is not a priority during CPR. The focus should be on providing chest compressions and rescue breaths.

Choice D rationale:

The correct ratio of compressions to breaths during CPR is 30:2, not 50:2.

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Correct Answer is C

Explanation

Choice A rationale:

Requesting a prescription for an analgesic for the client is a part of conventional medical treatment.

Choice B rationale:

Checking the client’s oxygen saturation level is a part of conventional medical treatment.

Choice C rationale:

Encouraging the client to take slow, deep breaths can help manage pain and is a holistic nursing approach.

Choice D rationale:

Obtaining blood work from the client is a part of conventional medical treatment.

A. Bradycardia. B. Dyspnea. C. Flushing. D. Vomiting.

Correct Answer is B

Explanation

Choice A rationale:

Bradycardia, or a slow heart rate, is not typically an early sign of circulatory overload.

Choice B rationale:

Dyspnea, or difficulty breathing, is an early sign of circulatory overload. This occurs because the heart is unable to pump the excess blood effectively, leading to fluid buildup in the lungs.

Choice C rationale:

Flushing, or reddening of the skin, is not typically an early sign of circulatory overload.

Choice D rationale:

Vomiting is not typically an early sign of circulatory overload.

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A nurse is caring for a client who becomes unresponsive.While administering CPR, which of the following actions should the nurse take?

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A nurse is caring for a client who becomes unresponsive.
While administering CPR, which of the following actions should the nurse take?