A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?
Assist the guest to the floor and begin mouth-to-mouth resuscitation.
Slap the guest on the back several times.
Perform the Heimlich maneuver on the guest.
Observe the guest before taking further action.
The Correct Answer is C
A. Assist the guest to the floor and begin mouth-to-mouth resuscitation: The airway is still obstructed, and rescue breathing is not effective until the obstruction is cleared.
B. Slap the guest on the back several times: Back slaps are not recommended for adults with complete airway obstruction as they may worsen the blockage.
C. Perform the Heimlich maneuver on the guest: Grasping the throat and inability to talk indicate a complete airway obstruction, requiring immediate abdominal thrusts (Heimlich maneuver) to clear the airway.
D. Observe the guest before taking further action: Delaying intervention in the presence of complete obstruction can lead to respiratory arrest. Immediate action is required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A nonrebreather mask: This provides high concentrations of oxygen (60% to 100%) and lacks precise control over oxygen delivery.
B. A simple face mask: Delivers oxygen concentrations between 40% and 60%, but the oxygen concentration varies depending on the client's breathing pattern.
C. A Venturi mask: Provides precise and consistent oxygen delivery, making it the best choice for clients needing an exact concentration of 40% oxygen.
D. A partial rebreathing mask: Delivers concentrations between 50% and 75% without precise control.
Correct Answer is B
Explanation
A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.
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