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 D

Explanation

A. Loop the tubing of the chest tube on the client's bed: Looping can create kinks or blockages, impeding drainage and increasing the risk of complications.
B. Place the chest tube drainage system above the level of the client's heart: This would prevent gravity drainage, leading to fluid accumulation in the pleural space.
C. Strip the client's chest tube every 2 hrs: Stripping can create high negative pressure, damaging lung tissue.
D. Tape the connections on the client's chest tube: Securing all connections with tape helps maintain a closed system and prevents air leaks.

A. aspirated vomit B. pulmonary fibrosis C. hiccoughs D. high altitude

Correct Answer is ["A","B","D"]

Explanation

A. Aspirated vomit: Can obstruct the airway or cause aspiration pneumonia, reducing oxygenation.
B. Pulmonary fibrosis: Scarring of lung tissue impairs gas exchange, leading to hypoxia.
C. Hiccoughs: Not associated with hypoxia; they are an involuntary diaphragmatic spasm.
D. High altitude: Decreased atmospheric oxygen levels can result in hypoxia.

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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 is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The multiple causes for hypoxia include: (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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

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