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.

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A. Confusion: Individuals with Alzheimer's disease often experience confusion due to memory loss, disorientation, and difficulty processing information. Confusion can contribute to wandering behavior as the individual may become lost or disoriented in familiar surroundings, leading them to wander in search of familiar people or places.

C. Agitation: Agitation, characterized by restlessness, pacing, or irritability, is commonly observed in individuals with Alzheimer's disease. Agitation can be triggered by various factors such as environmental stimuli, changes in routine, or unmet needs. It can escalate and prompt wandering behavior as the individual seeks to alleviate discomfort or agitation.

E. Distraction: Individuals with Alzheimer's disease may easily become distracted by environmental stimuli or sensory cues, which can lead to wandering behavior. Distraction can impair the individual's ability to maintain attention to their surroundings, increasing the likelihood of wandering episodes.

The following options are not directly associated with wandering behavior in individuals with Alzheimer's disease:

B. Distress: While distress may be experienced by individuals with Alzheimer's disease due to various factors such as confusion, agitation, or environmental changes, it is not a specific manifestation that puts the client at risk for wandering. Distress may exacerbate wandering behavior in some cases but is not a primary risk factor.

D. Depression: Depression is a common comorbidity in individuals with Alzheimer's disease and can contribute to overall behavioral changes and functional decline. However, depression alone is not a direct manifestation that puts the client at risk for wandering. Wandering behavior is more closely associated with cognitive impairment, agitation, and environmental factors rather than depression.

A. Ensuring that the client and their family are kept informed about the client's care B. Being aware of the client's wishes regarding care C. Scheduling periods of rest for the client D. Discussing the client's resting times with the family E. None F. None

Correct Answer is A

Explanation

Answer: A. Ensuring that the client and their family are kept informed about the client's care

Rationale:

A. Ensuring that the client and their family are kept informed about the client's care:
This action is the priority because communication is vital in managing a client with multiple organ dysfunction syndrome (MODS). Keeping the client and their family informed can help them understand the seriousness of the condition, the plan of care, and potential outcomes. It also fosters trust and ensures that the family can make informed decisions regarding the client's care.

B. Being aware of the client's wishes regarding care:
While being aware of the client’s wishes is important, especially in critical conditions like MODS, the priority lies in ensuring ongoing communication about the client's current status and treatment. Understanding the client's wishes can guide care but should follow the immediate need for clear communication about the evolving situation.

C. Scheduling periods of rest for the client:
Rest is essential for recovery, particularly in clients with MODS, but scheduling rest periods is a part of implementing care rather than a primary action. It can be planned based on the client’s needs and condition but does not take precedence over ensuring that the family is informed.

D. Discussing the client's resting times with the family:
While involving the family in discussions about the client's care is beneficial, the immediate priority is to ensure they are fully informed about the overall condition and care plan. This discussion can occur after establishing a solid communication foundation regarding the client's status and care approach.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is meeting with the caregivers of a client who has Alzheimer's disease who is at risk for wandering. Which of the following are manifestations that put the client at risk for wandering that the nurse should educate their caregivers about?

Correct Answer is ["A","C","E"]

Explanation

A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

Correct Answer is A

Explanation

Rationale:

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

A nurse is assessing a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?

A nurse is providing care for a client following a cardiac arrest due to pulseless electrical activity (PEA). Which of the following alterations are causes of PEA? (Select All that Apply.)

A nurse is providing teaching to a group of clients about the changes that occur when clients experience cataracts. Which of the following statements should the nurse include in the teaching?

A nurse is assessing a client suspected of having cardiac tamponade. Which of the following findings indicates the presence of pulsus paradoxus?

A nurse is providing care for a client experiencing obstructive shock. Which of the following diagnoses should the nurse expect?

A nurse is educating the family of a client who has Alzheimer's disease. The nurse should be sure to communicate that which of the following behavioral manifestations can occur in clients with Alzheimer’s disease? (Select All that Apply.)

A nurse is planning care for a client who has worsening heart failure and is experiencing arrhythmias. Which of the following procedures should the nurse anticipate the client will require to regulate the rhythm?