A nurse is caring for a client who is conscious and has an airway obstruction.
Which of the following actions should the nurse take?
Tilt the head and lift the chin.
Turn the client to the side.
Begin the Heimlich maneuver.
Perform a blind finger sweep.
The Correct Answer is C
Choice A rationale:
Tilt the head and lift the chin is a technique used to open the airway in an unconscious client, not a conscious one with an airway obstruction.
Choice B rationale:
Turning the client to the side is not the first action to take when a client is conscious and has an airway obstruction.
Choice C rationale:
The Heimlich maneuver is the appropriate action to take for a conscious client who has an airway obstruction. It works by creating an artificial cough, intended to force the obstruction out.
Choice D rationale:
A blind finger sweep should never be performed because it can push the obstruction further into the airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Urine specific gravity 1.020 is within the normal range (1.005-1.030), so it does not indicate fluid volume deficit.
Choice B rationale:
Urine output 15 mL/hr is less than the normal minimum of 30 mL/hr, indicating fluid volume deficit.
Choice C rationale:
Hct 43% is within the normal range (38.8-50.0 for men, 34.9-44.5 for women), so it does not indicate fluid volume deficit.
Choice D rationale:
BUN 12 mg/dL is within the normal range (7-20 mg/dL), so it does not indicate fluid volume deficit.
Correct Answer is D
Explanation
Choice A rationale:
Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.
Choice B rationale:
Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.
Choice C rationale:
Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.
Choice D rationale:
Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.
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