A nurse is dining at a restaurant when a woman begins to scream that her partner is choking. Which of the following actions should the nurse take?
Instruct the woman to call 911.
Use the abdominal-thrust maneuver.
Ask the partner if he can speak.
Perform chest compressions.
The Correct Answer is B
A. Instruct the woman to call 911: This is a correct action, but it should be the second step after the nurse initiates first aid measures. Directing someone to call for emergency assistance is crucial, but immediate intervention to relieve the choking takes precedence.
B. The Heimlich maneuver involves abdominal thrusts and is the recommended technique for relieving choking in a conscious person. It is essential to act quickly and decisively to clear the airway.
C. Ask the partner if he can speak: If the person is unable to speak, cough, or breathe, it may indicate complete airway obstruction. The nurse should not delay intervention by asking if the person can speak but should immediately proceed with measures to relieve the choking.
D. Perform chest compressions: Chest compressions are not indicated for a conscious choking victim. Chest compressions are performed in the context of cardiopulmonary resuscitation (CPR) for an unconscious person with no pulse.
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Related Questions
Correct Answer is C
Explanation
A. High-density lipoprotein (HDL) level of 70 mg/dL: Having a high HDL level is generally considered a protective factor against cardiovascular disease, including hypertension.
B. A diet high in potassium: A diet high in potassium is often associated with a lower risk of hypertension. Potassium helps balance sodium levels and supports healthy blood pressure.
C. Obstructive sleep apnea (OSA): This is the correct answer. Obstructive sleep apnea is a known risk factor for hypertension. The repeated episodes of interrupted breathing during sleep can contribute to increased blood pressure.
D. Taking benazepril: Benazepril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat hypertension. While it is used to manage high blood pressure, taking the medication itself is not a risk factor for developing hypertension.
Correct Answer is D
Explanation
A. Restrict the client's fluid intake: There is typically no need to restrict fluid intake after a cardiac catheterization. Adequate hydration is important for preventing complications and promoting recovery.
B. Ambulate the client 1 hr following the procedure: While early ambulation is encouraged in many cases, the timing may vary based on the specific protocols of the healthcare provider. It is important to follow the healthcare provider's orders regarding post-catheterization ambulation.
C. Instruct the client to perform range-of-motion exercises to his lower extremities: Range-of-motion exercises are beneficial to prevent complications such as venous stasis and deep vein thrombosis. However, the specific exercises and timing may vary. It is important to follow the healthcare provider's instructions.
D. Perform neurovascular checks with vital signs: This is the correct answer. After a cardiac catheterization accessed through the femoral artery, it is crucial to monitor neurovascular status in the affected extremity. Assessing peripheral pulses, skin color, temperature, and capillary refill, along with monitoring vital signs, helps detect any signs of complications such as bleeding or vascular compromise.
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