A nurse finds an adult client lying unconscious & unresponsive on the bathroom floor. Which action should the nurse take first?

Call for assistance.

Give 2 rescue breaths.

Check for apical pulse.

Begin chest compressions.

Answer and Explanation

The Correct Answer is A

This is because the nurse should first ensure that help is on the way before performing any other actions on an unconscious and unresponsive client. Calling for assistance may also alert someone who can bring an automated external defibrillator (AED) if needed.

Choice B is wrong because giving 2 rescue breaths is part of CPR, which should only be done after checking for a pulse and finding none or a weak one.

Giving rescue breaths to a client who has a pulse may cause harm.

Choice C is wrong because checking for apical pulse is not the most reliable way to assess circulation in an emergency situation. The nurse should check for a carotid pulse instead, which is easier to locate and more indicative of blood flow to the brain.

Choice D is wrong because beginning chest compressions is also part of CPR, which should only be done after calling for assistance and checking for a pulse and finding none or a weak one.

Chest compressions may cause harm to a client who has a pulse.

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Correct Answer is B

Explanation

This is because gelatin is a low-fat dessert that contains only 0.1 grams of fat per cup.

It is also low in calories and can be flavored with fruit juice or fresh fruits for added nutrition.

Choice A is wrong because a slice of fruit pie contains about 14 grams of fat per slice, which is high for a low-fat diet.

Fruit pies also have added sugar and refined flour that can increase the calorie intake.

Choice C is wrong because a bran muffin contains about 9 grams of fat per muffin, which is also high for a low-fat diet.

Bran muffins may have some fiber benefits, but they also have added sugar and oil that can make them less healthy.

Choice D is wrong because one plain doughnut contains about 11 grams of fat per doughnut, which is also high for a low-fat diet.

Doughnuts are deep-fried and have a lot of sugar and refined flour that can contribute to weight gain and health problems.

Some other examples of low-fat dessert choices are sorbet, fruit salad, yogurt, pudding, and angel food cake.

These desserts are lower in fat and calories than pies, muffins, and doughnuts, and can satisfy a sweet tooth without compromising the dietary instructions.

A. “Older adults often fear becoming addicted to pain medications.”. B. “Older adults often take numerous drugs which can cause interactions with pain medications.”. C. “Confusion and delirium can be a more common reaction to certain pain medications in the elderly.”. D. “Older adults tolerate the same dosage as do younger individuals.”.

Correct Answer is ["D"]

Explanation

Older adults do not have a different pain mechanism and do not feel it as much as younger individuals. This statement is false and indicates the need for further education regarding pain management in older adults.

Some possible explanations for the other choices are:

Choice A is true because older adults often fear becoming addicted to pain medications and may underreport or deny their pain.

Choice B is true because older adults often take numerous drugs that can cause interactions with pain medications and increase the risk of adverse effects.

Choice C is true because confusion and delirium can be a more common reaction to certain pain medications in the elderly, especially opioids and benzodiazepines.

Normal ranges for vital signs in older adults are similar to those in younger adults, except for blood pressure, which may be higher due to arterial stiffness. The normal range for blood pressure in older adults is 120/80 to 140/90 mm Hg.

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A nurse finds an adult client lying unconscious & unresponsive on the bathroom floor. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which dessert choice by a client who is prescribed a low-fat diet indicates the client understands the dietary instructions?

Correct Answer is B

Explanation

Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

Correct Answer is ["D"]

Explanation

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