A nurse finds a client who is not breathing. The nurse does not suspect any cervical vertebrae fractures. Which of the following actions should the nurse take first?

Evaluate the client for other injuries.

Open the client's airway using the head tilt-chin lift.

Open the client's airway using the jaw-thrust maneuver.

Place the client in a rigid cervical collar.

Answer and Explanation

The Correct Answer is B

A. Evaluating for other injuries is important but not the immediate priority.
B. If no cervical spine injury is suspected, the head tilt-chin lift is the recommended method to open the airway first in an apneic client.
C. The jaw-thrust maneuver is used when cervical spine injury is suspected to avoid neck movement.
D. Applying a rigid cervical collar is not necessary if no cervical injury is suspected.

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Correct Answer is ["C","D","E"]

Explanation

A. Urinary output assessment is unrelated to ventilator low volume alarms.

B. Increasing PEEP is not a first-line action for low volume alarms and may worsen patient status if cause is not identified.

C. Checking endotracheal tube placement ensures the tube hasn't moved or become dislodged during the x-ray.

D. Assessing for a cuff leak is important because a leak can cause low tidal volumes and trigger alarms.

E. Securing all ventilator connections prevents air leaks and ensures proper ventilation.Top of FormBottom of Form

A. Cardioversion B. Radiofrequency catheter ablation C. Defibrillation D. CPR

Correct Answer is A

Explanation

A. Cardioversion. For stable clients with ventricular tachycardia who have a pulse, synchronized cardioversion is the preferred treatment.

B. Radiofrequency catheter ablation is a longer-term treatment option for recurrent VT but is not an immediate intervention.

C. Defibrillation is used for pulseless VT or ventricular fibrillation, not for stable VT with a pulse.

D. CPR is required if the client is pulseless or in cardiac arrest, which is not indicated here.

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A nurse finds a client who is not breathing. The nurse does not suspect any cervical vertebrae fractures. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["C","D","E"]

Explanation

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Correct Answer is A

Explanation

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