A client asks a nurse about the appropriate first step when recognizing cardiac arrest. What is the nurse's best response?
"The first step in recognizing cardiac arrest is to assess the client's level of responsiveness."
"The first step in recognizing cardiac arrest is to check for signs of cyanosis on the skin."
"The first step in recognizing cardiac arrest is to ask the client if they are experiencing chest pain."
"The first step in recognizing cardiac arrest is to determine the client's blood pressure reading."
The Correct Answer is A
A) Correct. The first step in recognizing cardiac arrest is to assess the client's level of responsiveness. If the client is unresponsive, the nurse should proceed with assessing for the absence of breathing and a pulse.
B) Incorrect. While cyanosis may be a sign of decreased oxygenation, it is not the first step in recognizing cardiac arrest. Assessing responsiveness is the primary step.
C) Incorrect. Asking about chest pain may be important in assessing other cardiac conditions, but it is not the first step in recognizing cardiac arrest.
D) Incorrect. Determining the client's blood pressure reading is not the first step in recognizing cardiac arrest. Assessing responsiveness is the initial priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Defibrillation is used to stop abnormal heart rhythms, but it is not intended to restore a pulse directly. Effective CPR and defibrillation work together to improve the chances of restoring circulation.
B) Incorrect. While defibrillation can stop certain abnormal heart rhythms, it does not address all cardiac arrest situations.
C) Incorrect. Defibrillation is not used to relieve pain or discomfort. Its primary purpose is to restore a normal heart rhythm.
D) Correct. Early defibrillation is crucial because it helps to reset the heart's electrical activity, allowing the heart to resume an effective rhythm. The sooner defibrillation is performed, the better the chances of restoring a normal heart rhythm and improving the chances of survival.
Questions
Correct Answer is A
Explanation
A) Correct. The first link in the Chain of Survival is early recognition and activation of the emergency response system. Recognizing a cardiac arrest or life-threatening emergency and calling for help immediately is crucial to initiating a timely and effective resuscitation response.
B) Incorrect. While the rapid delivery of advanced life support is essential, it is not the first link in the Chain of Survival. Before advanced life support, there are other critical components that need to be activated.
C) Incorrect. Initiating chest compressions and rescue breaths is a vital part of the Chain of Survival, but it is not the first link. Early recognition and activation of the emergency response system take precedence.
D) Incorrect. While medications play a role in advanced cardiac life support, they are not part of the initial links in the Chain of Survival. The first link focuses on early recognition and activation of the emergency response system.
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