The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

directly over the umbilicus

directly over the sternum

between the umbilicus and the symphysis pubis

halfway between the xiphoid process and the umbilicus

Answer and Explanation

The Correct Answer is D

A. Directly over the umbilicus: This position is too low and would not generate effective pressure on the diaphragm.
B. Directly over the sternum: Applying pressure here risks injury to the chest cavity without effectively relieving airway obstruction.
C. Between the umbilicus and the symphysis pubis: This position is too low and ineffective for compressing the diaphragm.
D. Halfway between the xiphoid process and the umbilicus: This is the correct hand placement for the Heimlich maneuver to produce effective inward and upward pressure, dislodging the obstruction.

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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.

A. removing any adhesive from the patient's skin with acetone B. assessing equipment in room for frayed cords C. reducing humidification on the oxygen delivery device D. using clothing of synthetic cloth for the patient

Correct Answer is B

Explanation

A. Removing any adhesive from the patient's skin with acetone: Acetone is highly flammable and should not be used near oxygen equipment.
B. Assessing equipment in room for frayed cords: Frayed cords can cause electrical sparks, which may ignite in an oxygen-rich environment.
C. Reducing humidification on the oxygen delivery device: Humidification is essential to prevent mucosal dryness; reducing it unnecessarily can cause airway irritation.
D. Using clothing of synthetic cloth for the patient: Synthetic materials generate static electricity, which can ignite in the presence of oxygen. Cotton clothing is preferred.

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The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse performing tracheostomy care will:

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

Explanation

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

Correct Answer is B

Explanation

The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

The nurse clarifies that the cough mechanism is stimulated when:

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

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A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should: