A nurse is caring for a client who is conscious and has an airway obstruction.
Which of the following actions should the nurse take?
Tilt the head and lift the chin.
Turn the client to the side.
Begin the Heimlich maneuver.
Perform a blind finger sweep.
The Correct Answer is C
Choice A rationale:
Tilt the head and lift the chin is a technique used to open the airway in an unconscious client, not a conscious one with an airway obstruction.
Choice B rationale:
Turning the client to the side is not the first action to take when a client is conscious and has an airway obstruction.
Choice C rationale:
The Heimlich maneuver is the appropriate action to take for a conscious client who has an airway obstruction. It works by creating an artificial cough, intended to force the obstruction out.
Choice D rationale:
A blind finger sweep should never be performed because it can push the obstruction further into the airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.
Choice B rationale:
Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.
Choice C rationale:
High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.
Choice D rationale:
High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect because the heart has four chambers: two atria and two ventricles.
Choice B rationale:
This statement is correct. The heart has two large chambers called ventricles that pump blood out of the heart.
Choice C rationale:
This statement is incorrect because the ventricles are the larger chambers of the heart, not the smaller ones.
Choice D rationale:
This statement is incorrect because the atria are the smaller chambers of the heart, not the larger ones.
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