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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Use a 14-Fr catheter: This is the appropriate size for suctioning an adult to effectively remove thick secretions.
B. Use suction pressure between 120 and 160 mm Hg: This pressure is too high and may cause mucosal damage; 100 to 120 mm Hg is recommended for adults.
C. Use an 8-Fr catheter: This size is too small for effectively suctioning thick secretions in adults.
D. Use the catheter to suction the mouth and nasopharynx: Suctioning the mouth first contaminates the catheter, increasing the risk of infection in the nasopharynx.

A. Dysphagia B. Nausea C. Agitation D. Warm, dry skin

Correct Answer is C

Explanation

A. Dysphagia: Difficulty swallowing is not directly associated with hypoxia.
B. Nausea: Nausea is not a typical manifestation of hypoxia.
C. Agitation: Hypoxia causes restlessness and agitation as early signs due to decreased oxygen delivery to the brain.
D. Warm, dry skin: Hypoxia typically leads to cool, clammy skin rather than warmth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?

Correct Answer is C

Explanation

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