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

According to the Addiction Nursing Competencies, antisocial personality traits are one of the risk factors for developing addictive behaviors.

Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, impulsivity, deceitfulness, and lack of remorse.

Choice A is wrong because high self-esteem is not associated with addictive behaviors. On the contrary, low self-esteem, passivity, and inability to relax or defer gratification are some of the personality factors that can predispose a person to substance use disorders.

Choice C is wrong because good communication skills are not related to addictive

behaviors. In fact, poor communication skills, social isolation, and lack of support are some of the psychosocial factors that can contribute to substance use disorders.

Choice D is wrong because aggressive behaviors are not a specific indicator of addictive behaviors.

Aggression can be a result of various factors, such as frustration, anger, stress, or mental illness. Aggression can also be influenced by the type and amount of substance used.

A. Tarry-colored stools. B. Swelling of the leg and knee. C. Right upper quadrant discomfort. D. Bruising around the injured knee.

Correct Answer is A

Explanation

This is because aspirin can cause gastrointestinal bleeding, ulceration, and perforation as side effects. Tarry-colored stools indicate the presence of blood in the stool, which is a sign of bleeding in the upper gastrointestinal tract.

This is a serious condition that requires immediate medical attention.

Choice B. Swelling of the leg and knee is wrong because it is not related to aspirin use.

It may indicate inflammation, infection, or injury of the leg and knee, but it is not a priority symptom to report to the HCP.

Choice C. Right upper quadrant discomfort is wrong because it is not related to aspirin use.

It may indicate liver or gallbladder problems, but it is not a priority symptom to report to the HCP.

Choice D. Bruising around the injured knee is wrong because it is not related to aspirin use.

It may indicate trauma, bleeding disorders, or coagulation problems, but it is not a priority symptom to report to the HCP.

Normal ranges for bleeding time are 2 to 7 minutes. Normal ranges for PTT are 25 to 35 seconds. Normal ranges for liver enzymes are AST 10 to 40 U/L and ALT 7 to 56 U/L.

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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

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

Correct Answer is B

Explanation

A client has been taking aspirin 325 mg six to eight times a day for the past two weeks to control pain from a knee injury. Which symptom reported by the client should the nurse report to the health care provider (HCP) for priority follow-up?

Correct Answer is A

Explanation

A client is learning about diet choices that will increase wound healing after a total knee replacement. What diet selection would indicate that the client understands the correct foods to choose for that outcome to happen?

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