While in the dining room at the hospital, the nurse notes a visitor has forceful coughs. Which actions would the nurse take to assist this visitor?
Select all that apply:
Start cardiopulmonary resuscitation (CPR).
Assist the client to a sitting position on the floor.
Allow the visitor to cough.
Assess for a weak ineffective cough.
Perform the Heimlich maneuver.
Correct Answer : C,D
If a visitor in the dining room at the hospital has a forceful cough, the nurse should first allow the visitor to continue coughing. Coughing is a natural reflex that helps clear the airway of foreign objects or mucus. The nurse should also assess the effectiveness of the cough. If the cough is weak or ineffective, further intervention may be necessary.
Starting cardiopulmonary resuscitation (CPR) or performing the Heimlich maneuver would only be appropriate if the visitor is choking and unable to breathe. Assisting the client to a sitting position on the floor may not be necessary and could potentially cause harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Subjective data refers to information that is reported by the client and cannot be directly observed or measured by the healthcare provider. In this case, the statement "leave me alone" is an example of subjective data that the nurse should document. This information provides insight into the client's feelings and emotions and can help guide the nurse's care and interventions.
Correct Answer is D
Explanation
Developmental testing for kindergarten through third-grade students is an example of primary prevention. Primary prevention aims to prevent disease or injury before it occurs by promoting healthy behaviors and reducing exposure to risk factors.

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