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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Scrambled eggs are soft and easy to chew and swallow, making them appropriate for a mechanically altered diet.

Choice B rationale:

Wheat toast is hard and requires more chewing, which may be difficult for a client on a mechanically altered diet.

Choice C rationale:

Cottage cheese is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.

Choice D rationale:

A sliced banana is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.

Correct Answer is ["1100"]

Explanation

The correct answer is 1100.

Calculation: The current time is 0700 and there are 300 mL remaining in the bag. The IV is infusing at a rate of 75 mL/hr. Therefore, 300 mL ÷ 75 mL/hr = 4 hours. Adding 4 hours to the current time of 0700 gives 1100.

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A nurse is caring for a client who is conscious and has an airway obstruction.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving a mechanically altered diet.Which of the following food choices necessitates intervention by the nurse?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag. At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Correct Answer is ["1100"]

Explanation

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A nurse is caring for a client who is conscious and has an airway obstruction.
Which of the following actions should the nurse take?