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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Respiratory acidosis is characterized by a high PaCO2 and a low pH. The client’s ABG results do not match this pattern.

Choice B rationale:

Metabolic acidosis is characterized by a low HCO3 and a low pH. The client’s ABG results do not match this pattern.

Choice C rationale:

Respiratory alkalosis is characterized by a low PaCO2 and a high pH. The client’s ABG results do not match this pattern.

Choice D rationale:

Metabolic alkalosis is characterized by a high HCO3 and a high pH. The client’s ABG results match this pattern. Normal values for pH, PaCO2, and HCO3 are 7.35-7.45, 35-45 mm Hg, and 22-26 mEq/L respectively.

A. Urine specific gravity 1.020. B. Urine output 15 mL/hr. C. Hct 43%. D. BUN 12 mg/dL.

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.

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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?

Nursing Test Bank

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Correct Answer is D

Explanation

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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?