A nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?
The client is coughing only.
The client is not making any sounds.
The client is able to whisper.
The client has a high-pitched inspiratory stridor.
The Correct Answer is B
A. A client who is coughing only is still able to clear the airway by themselves.
B. Inability to make any sounds indicates a complete airway obstruction, requiring the Heimlich maneuver.
C. A client who can whisper has a partial airway obstruction and should be encouraged to continue coughing.
D. A high-pitched inspiratory stridor indicates a partial obstruction, not requiring the Heimlich maneuver but close monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Gelatin is typically allowed on a clear liquid diet because it melts into a clear liquid.
B. Yogurt is not typically included on a clear liquid diet because it is not a clear liquid; it is a semi-solid food.
C. Popsicles are usually allowed on a clear liquid diet as they melt into a liquid form.
D. Broth is a clear liquid and is therefore appropriate for a clear liquid diet.
Correct Answer is B
Explanation
A. Alcohol abuse disorder can lead to dehydration and electrolyte imbalances but is not directly linked to low potassium levels.
B. NG tube to gastric suction can lead to potassium loss through gastric secretions, potentially causing hypokalemia.
C. Drinking large amounts of water is not typically associated with low potassium levels; excessive water intake can dilute electrolytes but is less likely to cause hypokalemia.
D. Spironolactone is a potassium-sparing diuretic that can actually increase potassium levels, making it less likely to cause hypokalemia.
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