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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3, which is not the case here.
Choice B rationale:
Respiratory acidosis is incorrect because it would present with a low pH and high PaCO2, which is not the case here.
Choice C rationale:
Metabolic acidosis is correct because it presents with a low pH and low HCO3, which matches the client’s ABG results.
Choice D rationale:
Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2, which is not the case here.
Correct Answer is A
Explanation
Choice A rationale:
Bleeding gums is a common symptom of vitamin C deficiency, also known as scurvy.
Choice B rationale:
Impaired vision is not typically associated with vitamin C deficiency.
Choice C rationale:
A swollen tongue is not a typical symptom of vitamin C deficiency.
Choice D rationale:
Diarrhea is not a common symptom of vitamin C deficiency. In fact, high doses of vitamin C can cause diarrhea.
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