A nurse is providing CPR to a client. Which of the following aspects of CPR are different in the community versus in the hospital? (Select All that Apply.)
In the community, the nurse should notify emergency services.
Compression rates and depths vary depending on the setting.
In the hospital, codes are addressed by an interprofessional team.
In the community, the nurse might use laypeople for assistance.
In the community, the use of automated external defibrillators (AEDs) requires the presence of a health care provider.
Correct Answer : A,C,D
A. In the community, the nurse should notify emergency services: In a community setting, such as outside the hospital or in a public area, it is essential to activate emergency medical services (EMS) by calling for help immediately when initiating CPR.
B. Compression rates and depths vary depending on the setting: Compression rates and depths for CPR follow standardized guidelines set by organizations such as the American Heart Association (AHA) and may not significantly differ between community and hospital settings. These guidelines typically recommend a compression rate of 100-120 compressions per minute and a compression depth of at least 2 inches (5 centimeters) for adults.
C. In the hospital, codes are addressed by an interprofessional team: In a hospital setting, cardiac arrest situations are typically addressed by an interprofessional team consisting of physicians, nurses, respiratory therapists, and other healthcare providers. This team-based approach allows for coordinated efforts in resuscitation, including advanced interventions such as airway management, medications, and defibrillation.
D. In the community, the nurse might use laypeople for assistance: In a community setting, especially if the nurse is providing CPR outside of a healthcare facility, there may be a need to involve laypeople or bystanders for assistance. Promptly recruiting bystanders to call for help, retrieve an AED if available, or assist with chest compressions can improve outcomes for the victim of cardiac arrest.
E. In the community, the use of automated external defibrillators (AEDs) requires the presence of a health care provider: In many community settings, including public places like shopping malls, airports, and schools, automated external defibrillators (AEDs) are available for use by laypeople or bystanders. While the presence of a healthcare provider is beneficial, AEDs are designed to provide audio and visual instructions for use by individuals without medical training, allowing for rapid defibrillation in cases of sudden cardiac arrest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer: C
Rationale:
A) "I'm glad that I can work remotely from my computer. Prolonged use of a computer can strain the eyes, potentially interfering with the healing process after a retinal reattachment procedure. Clients are generally advised to limit screen time during recovery.
B) "I can't wait to be able to take a bath. Submerging the face in water, as during a bath, is discouraged postoperatively due to the risk of introducing bacteria into the eye and delaying healing. Clients are advised to stick to showers and avoid getting the affected eye wet.
C) "I get bored only being able to watch television. Watching television is usually permissible following retinal surgery, as it does not strain the eye excessively. This statement aligns with typical postoperative instructions.
D) "I will be relieved once I can drive myself to the store." Driving is contraindicated during the recovery phase due to potential visual disturbances and the need for the eye to heal properly. Clients are typically instructed to avoid driving until cleared by their ophthalmologist.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Weight loss:
Weight loss can occur in individuals with dementia due to various factors, including decreased appetite, difficulty eating or swallowing, and increased energy expenditure.
Monitoring weight regularly can help detect changes in nutritional status and identify potential health concerns, such as malnutrition or dehydration.
B. Decreased mobility:
Individuals with dementia may experience a decline in mobility and functional abilities as the disease progresses.
Monitoring changes in mobility, such as difficulty walking, transferring, or performing activities of daily living, is important for assessing functional decline and implementing appropriate interventions to maintain mobility and prevent complications such as falls.
C. Increased physical activity:
While dementia can lead to decreased physical activity in some individuals, others may exhibit increased restlessness or wandering behaviors.
Monitoring changes in physical activity levels can help identify agitation, restlessness, or wandering behaviors that may require intervention to ensure the safety and well-being of the individual with dementia.
D. Unkempt appearance:
Individuals with dementia may neglect personal hygiene and grooming tasks, leading to an unkempt appearance.
Monitoring changes in appearance, such as poor personal hygiene, disheveled clothing, or neglect of grooming habits, can indicate difficulties with self-care and may necessitate assistance or supervision to maintain hygiene and appearance.
E. Constipation:
Constipation is a common gastrointestinal symptom in individuals with dementia, often due to factors such as reduced fluid intake, decreased physical activity, and side effects of medications.
Monitoring bowel habits and addressing constipation promptly can help prevent discomfort, complications such as fecal impaction, and maintain overall gastrointestinal health in individuals with dementia.
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