A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:

deliver two quick short breaths into the patient's airway

tilt the head by placing one hand on the forehead and lift the chin

call for help or, if there is assistance, have that person get help

position the fingers over the carotid artery to feel for a pulse

Answer and Explanation

The Correct Answer is C

A. Deliver two quick short breaths into the patient's airway: Rescue breaths are not performed until airway patency and circulation are assessed.
B. Tilt the head by placing one hand on the forehead and lift the chin: This technique opens the airway but should follow calling for help and basic assessment.
C. Call for help or, if there is assistance, have that person get help: Activating emergency services is critical for obtaining additional life-saving resources.
D. Position the fingers over the carotid artery to feel for a pulse: Pulse checks come after calling for help in the Basic Life Support (BLS) algorithm.

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Correct Answer is B

Explanation

A. 25 and 50 mm Hg: This pressure is insufficient to effectively clear oral secretions.
B. 80 and 120 mm Hg: Recommended for safe and effective oral suctioning to prevent mucosal trauma while adequately clearing secretions.
C. 120 and 180 mm Hg: Excessive pressure can cause mucosal damage and trauma.
D. 50 and 75 mm Hg: This pressure is too low to be effective for adult oral suctioning.

A. raise the head of the bed to high Fowler's position B. remove the inner cannula with the ungloved hand C. suction tracheostomy before beginning care D. clean cannula with gauze and replace and lock

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

Explanation

A. Raise the head of the bed to high Fowler's position: This promotes optimal lung expansion and drainage, reduces aspiration risk, and facilitates easier tracheostomy care.
B. Remove the inner cannula with the ungloved hand: Sterile technique is required when handling the inner cannula to prevent infection.
C. Suction tracheostomy before beginning care: Suctioning clears secretions and ensures better visibility for care, reducing the risk of aspiration during the procedure.
D. Clean cannula with gauze and replace and lock: The inner cannula should be cleaned per protocol using sterile saline and replaced securely.

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A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

Correct Answer is B

Explanation

The nurse performing tracheostomy care will:

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

Explanation

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

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The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)