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 C
Explanation
A) Incorrect. While the team leader plays a crucial role in providing direction, making all decisions independently can hinder effective team dynamics. Collaboration and input from team members are essential for optimal outcomes.
B) Incorrect. While delegation is important, expecting the team leader to delegate all tasks without involvement from other team members does not promote effective team dynamics. Communication and coordination are essential.
C) Correct. Encouraging open communication and input from all team members fosters effective team dynamics during CPR. Each team member brings valuable insights and skills to contribute to the resuscitation efforts.
D) Incorrect. While maintaining a calm demeanor is important, the team leader should involve other team members in decision-making and communication. Effective team dynamics rely on collaborative efforts.
Correct Answer is B
Explanation
A) Incorrect. The compression-to-ventilation ratio of 5:1 is not the current guideline for adult CPR. The correct ratio involves more frequent compressions.
B) Correct. The recommended compression-to-ventilation ratio for adult CPR is 30:2. This means 30 chest compressions followed by 2 rescue breaths.
C) Incorrect. Continuous compressions without providing ventilations can lead to inadequate oxygenation, which is essential for the survival of the individual.
D) Incorrect. The compression-to-ventilation ratio of 10:1 is not the current guideline for adult CPR. The correct ratio involves more frequent compressions and periodic rescue breaths.
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