A nurse is caring for a client who becomes unresponsive. While administering CPR, which of the following actions should the nurse take?

Complete two cycles of compression/rescue breathing before attaching the automated external defibrillator (AED).

Check for a brachial pulse.

Provide chest compressions at a rate of 100/min.

After a set of 50 compressions, give the client 2 rescue breaths.

Answer and Explanation

The Correct Answer is C

Choice A reason: While early CPR is crucial, the AED should be attached as soon as it is available to analyze the heart rhythm and provide a shock if needed. Delaying the use of the AED can reduce the chances of successful resuscitation.

Choice B reason: In adults, the carotid pulse is typically checked, not the brachial pulse. The brachial pulse is more commonly assessed in infants.

Choice C reason: The correct answer is c because providing chest compressions at a rate of 100-120 compressions per minute is the recommended rate for effective CPR. High-quality chest compressions are essential for maintaining circulation during cardiac arrest.

Choice D reason: The recommended ratio of chest compressions to rescue breaths is 30:2, not 50:2. Performing 50 compressions before providing rescue breaths is not aligned with current CPR guidelines.

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Correct Answer is B

Explanation

Choice A reason: While bulimia can cause gastrointestinal issues, it is not directly linked to the development of peptic ulcers. Peptic ulcers are primarily associated with factors that affect the stomach lining and increase gastric acidity.

Choice B reason: The correct answer is b because the use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen is a well-known risk factor for peptic ulcers. NSAIDs can irritate the stomach lining and inhibit the production of protective mucus, leading to ulcer formation.

Choice C reason: Drinking green tea has not been shown to be a risk factor for peptic ulcers. In fact, some studies suggest that green tea may have protective effects on the stomach lining.

Choice D reason: Consuming spicy foods is often believed to cause peptic ulcers, but there is no scientific evidence to support this. Spicy foods may exacerbate symptoms in individuals with existing ulcers, but they do not cause the condition.

A. Empty the collection chamber on the client’s chest tube every 4 hr. B. Strip the client’s chest tube every 2 hr. C. Pin the chest tube to the client’s gown. D. Tape the connections on the client’s chest tube.

Correct Answer is D

Explanation

Choice A reason: Emptying the collection chamber every 4 hours is unnecessary and can increase the risk of introducing infection. The chamber should be emptied as needed based on the volume of drainage.

Choice B reason: Stripping the chest tube, which involves squeezing and releasing sections of the tube to move clots, is not recommended as it can create high negative pressure and cause damage to the lung tissue.

Choice C reason: Pinning the chest tube to the client’s gown can lead to accidental dislodgement. The chest tube should be secured appropriately without tension.

Choice D reason: The correct answer is d because taping the connections on the client’s chest tube ensures that the system remains airtight and prevents air leaks, which is essential for effective functioning of the chest tube and prevention of pneumothorax recurrence.

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A nurse is caring for a client who becomes unresponsive. While administering CPR, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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