A nurse is dining at a restaurant when a woman calls for help because her partner is choking.
Which of the following actions should the nurse take first?
Ask someone to call 911.
Ask the victim if he can speak.
Use the jaw-thrust maneuver.
Administer an abdominal thrust.
The Correct Answer is B
Choice A rationale:
While calling 911 is important, it is not the first action the nurse should take. The nurse should first assess the victim’s condition.
Choice B rationale:
The first action when someone is choking is to ask if they can speak. If they can speak, it means air is still passing through the windpipe.
Choice C rationale:
The jaw-thrust maneuver is used to open the airway in an unconscious victim, not in a choking victim.
Choice D rationale:
Abdominal thrusts (Heimlich maneuver) are used when the victim cannot speak, indicating a complete airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.
Choice B rationale:
Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.
Choice C rationale:
Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.
Choice D rationale:
Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.
Correct Answer is C
Explanation
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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