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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Acute kidney injury (AKI) typically causes metabolic acidosis, not alkalosis, due to impaired acid excretion.
B. AKI often results in hyperkalemia because the kidneys cannot excrete potassium effectively.
C. Elevated BUN is expected in AKI due to decreased kidney filtration and accumulation of nitrogenous waste.
D. Hypocalcemia, not hypercalcemia, is more common in AKI due to impaired vitamin D activation and phosphate retention.
Correct Answer is C
Explanation
A. Hypocalcemia is not a primary concern in DKA treatment.
B. Hyponatremia can occur but is less immediately critical than potassium imbalance.
C. During treatment of DKA, insulin administration drives potassium into cells, potentially causing dangerous hypokalemia, so close monitoring of potassium levels is essential.
D. Hypomagnesemia is less common and not the primary focus during DKA management.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.