A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?
Perform a blind finger sweep.
Turn the client to the side.
Insert an oral airway.
Administer the abdominal thrust maneuver.
The Correct Answer is D
Choice A reason: Perform a Blind Finger Sweep
Performing a blind finger sweep is not recommended because it can push the foreign object further into the airway, making the obstruction worse. This method is only advised if the object is clearly visible and can be safely removed without causing further harm.
Choice B reason: Turn the Client to the Side
Turning the client to the side can be helpful in certain situations, such as when the client is unconscious or at risk of vomiting. However, in the case of a conscious client with a foreign body airway obstruction, this action does not directly address the obstruction and is not the first priority.
Choice C reason: Insert an Oral Airway
Inserting an oral airway is typically used to maintain an open airway in an unconscious patient who cannot maintain their own airway. For a conscious client with a foreign body obstruction, this action is not appropriate and could cause further complications.
Choice D reason: Administer the Abdominal Thrust Maneuver
Administering the abdominal thrust maneuver (also known as the Heimlich maneuver) is the recommended first action for a conscious client with a foreign body airway obstruction. This technique involves standing behind the client, placing a fist just above their navel, and delivering quick, upward thrusts to expel the foreign object. This method is effective in creating an artificial cough that can dislodge the obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
Step 1: Identify the prescribed dose.
- The prescribed dose is 30 mg.
- Result: 30 mg.
Step 2: Identify the strength of the available tablets.
- The available tablets are 10 mg each.
- Result: 10 mg/tablet.
Step 3: Calculate the number of tablets to administer.
- Number of tablets = (Prescribed dose in mg) ÷ (Strength of available tablets in mg/tablet).
- Number of tablets = 30 mg ÷ 10 mg/tablet.
- Number of tablets = 3 tablets.
- = 3 tablets.
So, the nurse should administer 3 tablets of fluoxetine per dose.
Correct Answer is ["0.2"]
Explanation
Step 1: Determine the concentration of morphine sulfate available. = 10 mg/mL
Step 2: Determine the dose of morphine sulfate to be administered. = 2 mg
Step 3: Calculate the volume to be administered using the formula: Volume to be administered = Dose ÷ Concentration
Step 4: Perform the division. Calculation: 2 mg ÷ 10 mg/mL = 0.2 mL
Step 5: Round the answer to the nearest tenth if necessary. = 0.2 mL (no rounding needed)
The nurse should administer 0.2 mL per dose.
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