A client asks a nurse about the correct compression depth during adult CPR. What is the nurse's best response?
"Compress the chest to a depth of 1 inch (2.5 cm) for adult CPR."
"Compress the chest to a depth of at least 2 inches (5 cm) for adult CPR."
"Compress the chest to a depth of 3 inches (7.5 cm) for adult CPR."
"Compress the chest to a depth of 4 inches (10 cm) for adult CPR."
The Correct Answer is B
A) Incorrect. Compressing the chest to a depth of 1 inch (2.5 cm) is too shallow for effective adult CPR. Deeper compressions are required.
B) Correct. The correct compression depth for adult CPR is at least 2 inches (5 cm). This depth allows for sufficient blood flow to vital organs and is consistent with current BLS guidelines.
C) Incorrect. Compressing the chest to a depth of 3 inches (7.5 cm) is deeper than necessary for adult CPR. Excessive compression depth may cause harm.
D) Incorrect. Compressing the chest to a depth of 4 inches (10 cm) is much deeper than the recommended depth for adult CPR. Excessive depth can lead to rib fractures and other injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. For children in cardiac arrest, the standard CPR technique involves both chest compressions and rescue breaths. Hands-Only CPR is most appropriate for adults in cardiac arrest.
B) Incorrect. Near-drowning incidents may involve respiratory issues and potential water aspiration, making the delivery of rescue breaths essential. Hands-Only CPR is not the most appropriate technique in this situation.
C) Correct. Hands-Only CPR is most appropriate when the client is unresponsive and not breathing after sudden cardiac arrest, especially in adult victims. In such cases, bystanders can provide continuous chest compressions until professional help arrives.
D) Incorrect. For severe allergic reactions, the primary intervention is to administer epinephrine and seek emergency medical assistance. Hands-Only CPR is not indicated for anaphylactic reactions.
Correct Answer is A
Explanation
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.
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