A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?
Perform CPR on the client.
Assist with airway intubation.
Maintain IV access.
Place defibrillator pads on the client.
The Correct Answer is A
A. Perform CPR on the client:
CPR (Cardiopulmonary Resuscitation) is a critical and time-sensitive intervention during a cardiac arrest. An assistive personnel trained in CPR can initiate chest compressions while awaiting further medical assistance.
B. Assist with airway intubation:
Airway intubation is a more advanced skill typically performed by healthcare providers such as physicians or advanced practice nurses. It is beyond the scope of practice for most assistive personnel.
C. Maintain IV access:
Maintaining IV access may require specific skills and knowledge about medications and fluids. While some assistive personnel may be trained in certain aspects of IV care, the level of expertise needed during a cardiac arrest may be beyond their scope.
D. Place defibrillator pads on the client:
Applying defibrillator pads involves handling medical equipment and making critical decisions about when to deliver a shock. This task is typically performed by healthcare providers trained in advanced cardiac life support (ACLS).
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Related Questions
Correct Answer is ["0.5"]
Explanation
To calculate the volume (mL) that the nurse should administer, you can use the following formula:
Volume (mL)=Dose (g)/Concentration (g/mL)
In this case:
- Volume=0.175 g/375 mg/mL
- First, convert the dose to grams:
- 0.175g=175mg
Now calculate the volume:
- Volume = 175mg/375 mg/mL
- Volume=0.4667mL
Rounded to the nearest tenth, the nurse should administer approximately 0.5 mL of ampicillin/sulbactam for the 0.175 g IM dose.
Correct Answer is A
Explanation
Ask the APs to discontinue the conversation:
This is the most appropriate immediate action. Discussing a client's care in a public area violates the principle of patient confidentiality. The nurse should intervene promptly and ask the assistive personnel to stop the conversation.
Inform the client what has occurred:
While transparency with the client is important, it may not be the first action to take in this situation. The priority is to address the breach of confidentiality by stopping the conversation.
Notify the client's provider:
Notifying the client's provider is not the initial action to take in this situation. First, the nurse should address the immediate issue by stopping the inappropriate conversation. The provider may be informed later, if necessary.
Schedule a disciplinary conference for the APs:
Scheduling a disciplinary conference is a step that may be taken after addressing the immediate issue. The priority is to stop the inappropriate conversation and address confidentiality concerns before considering disciplinary actions.
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