A client is concerned about potential miscommunication during CPR. What is the nurse's best response to address this concern?

"CPR team members rely on verbal communication only to ensure accurate information exchange."

"CPR team members use both verbal and written communication for a comprehensive understanding of the resuscitation plan."

"CPR team members should avoid using hand signals and nonverbal cues to prevent confusion."

"CPR team members communicate primarily through electronic devices for real-time updates."

Answer and Explanation

The Correct Answer is B

A) Incorrect. While verbal communication is crucial during CPR, relying solely on verbal communication may not be sufficient for accurate information exchange, especially in high-stress situations.

B) Correct. CPR teams use both verbal and written communication for a comprehensive understanding of the resuscitation plan. Verbal communication allows for real-time updates, while written communication, such as documentation and checklists, helps ensure critical information is conveyed and understood.

C) Incorrect. Hand signals and nonverbal cues can be valuable additions to communication during CPR, especially in noisy environments or when verbal communication is challenging.

D) Incorrect. While electronic devices can be used for communication, they may not be practical or necessary during CPR. Verbal and written communication are the primary modes of communication in such situations.

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Correct Answer is A

Explanation

A) Correct. In the event of an unresponsive individual with no breathing and no pulse, the nurse's immediate action is to activate the emergency response system and retrieve the AED. Early access to the AED can significantly improve the chances of survival for the client in case they are experiencing a shockable rhythm.

B) Incorrect. Chest compressions should be started immediately after identifying an unresponsive individual with no pulse. The rate of compressions should be 100 to 120 compressions per minute, not 60.

C) Incorrect. The current guidelines recommend starting with chest compressions, not rescue breaths, when assessing an unresponsive individual without a pulse.

D) Incorrect. Time is critical during a cardiac arrest, and the nurse should not wait for additional healthcare providers before initiating CPR and activating the emergency response system.

A. "Hands-Only CPR is most appropriate when the client is a child in cardiac arrest." B. "Hands-Only CPR is most appropriate when the client has experienced a near-drowning incident." C. "Hands-Only CPR is most appropriate when the client is unresponsive and not breathing after sudden cardiac arrest." D. "Hands-Only CPR is most appropriate when the client is experiencing a severe allergic reaction."

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.

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A client is concerned about potential miscommunication during CPR. What is the nurse's best response to address this concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an unresponsive client and determines the client is not breathing and has no pulse. What is the nurse's immediate action?

Correct Answer is A

Explanation

A nurse is instructing a group of clients about Hands-Only Cardiopulmonary Resuscitation (CPR). When is this technique most appropriate?

Correct Answer is C

Explanation

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A nurse is teaching healthcare providers about the importance of early response to cardiac arrest. What is the primary goal of early recognition and response in cardiac arrest situations?

A nurse is teaching a client about Hands-Only Cardiopulmonary Resuscitation (CPR). When is this technique most appropriate?

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