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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Clara Barton was a pioneering nurse who is best known for founding the American Red Cross in 1881. She was a hospital nurse during the American Civil War and later worked to provide aid to soldiers and civilians aﬀected by war and natural disasters. In 1881, she established the American Red Cross to provide humanitarian assistance during times of crisis. The organization continues to provide disaster relief and support to this day.

A. Blood pressure: 120/80. B. Pain rating of 4 on a scale of 1 to 10. C. Pulse rate: 80. D. Respiratory rate: 8.

Correct Answer is D

Explanation

The nurse should immediately report a respiratory rate of 8 to the physician. A normal respiratory rate for an adult is between 12 and 20 breaths per minute. A respiratory rate of 8 is considered abnormally low and can indicate respiratory depression, which can be a side eﬀect of pain medication delivered through an epidural catheter. It is important for the nurse to report this finding immediately so that appropriate interventions can be taken to ensure the safety of the client.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following nursing pioneers established the Red Cross in the United States in 1882?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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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: