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 A
Explanation
Choice A rationale:
Yoga involves poses and meditation, which can help reduce stress and achieve wellness.
Choice B rationale:
Aromatherapy uses essential oils to promote health and well-being, but it does not involve poses or meditation.
Choice C rationale:
Reiki is a form of energy healing, but it does not involve poses or meditation.
Choice D rationale:
Acupuncture involves inserting needles at specific points on the body to promote healing, but it does not involve poses or meditation.
Correct Answer is B
Explanation
Choice A rationale:
Metabolic acidosis would likely present with rapid, deep breathing (Kussmaul respirations), not slow and shallow breathing.
Choice B rationale:
The client’s symptoms of vomiting (which can cause a loss of stomach acid), dizziness, palpitations, and numbness and tingling in the extremities and around the mouth are consistent with metabolic alkalosis.
Choice C rationale:
Respiratory alkalosis would likely present with rapid breathing, not slow and shallow breathing.
Choice D rationale:
Respiratory acidosis would likely present with rapid, shallow breathing, not slow and shallow breathing.
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