A nurse is dining at a restaurant when a woman begins to scream that her partner is choking. Which of the following actions should the nurse take?
Instruct the woman to call 911.
Use the abdominal-thrust maneuver.
Ask the partner if he can speak.
Perform chest compressions.
The Correct Answer is B
A. Instruct the woman to call 911: This is a correct action, but it should be the second step after the nurse initiates first aid measures. Directing someone to call for emergency assistance is crucial, but immediate intervention to relieve the choking takes precedence.
B. The Heimlich maneuver involves abdominal thrusts and is the recommended technique for relieving choking in a conscious person. It is essential to act quickly and decisively to clear the airway.
C. Ask the partner if he can speak: If the person is unable to speak, cough, or breathe, it may indicate complete airway obstruction. The nurse should not delay intervention by asking if the person can speak but should immediately proceed with measures to relieve the choking.
D. Perform chest compressions: Chest compressions are not indicated for a conscious choking victim. Chest compressions are performed in the context of cardiopulmonary resuscitation (CPR) for an unconscious person with no pulse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The pain persists with rest and organic nitrates: This statement is incorrect. Anginal pain typically improves with rest and can be relieved by the administration of organic nitrates.
B. The pain usually lasts longer than 20 min: This statement is incorrect. Anginal pain is often brief and lasts for a few minutes, typically less than 20 minutes.
C. Exertion and anxiety can trigger the pain: This is the correct answer. Anginal pain is often triggered by activities that increase the workload of the heart, such as exertion or emotional stress (anxiety). These triggers lead to an increased demand for oxygen by the heart muscle, which may exceed the compromised blood supply, resulting in angina.
D. The pain often radiates to the jaw or the back: This statement is correct. Anginal pain may radiate to the jaw, back, shoulder, arm, or neck. The radiation of pain is a characteristic feature of angina.
Correct Answer is B
Explanation
A. Foot ulcers: Foot ulcers are more commonly associated with the later stages of peripheral arterial disease (PAD) when there is significant impairment of blood flow to the extremities, leading to tissue damage and delayed wound healing.
B. Intermittent claudication: This is the correct answer. Intermittent claudication is a classic symptom of PAD in the early stage. It is characterized by cramping leg pain or discomfort that occurs during physical activity, such as walking, and is relieved by rest. It is caused by insufficient blood flow to meet the demands of the muscles during exercise.
C. Rest pain: Rest pain is typically a symptom of more advanced PAD. It occurs when blood flow is severely compromised even at rest, leading to pain in the affected extremity that is not relieved by activity.
D. Dependent rubor: Dependent rubor is a sign of severe PAD and occurs when the foot or leg becomes red or flushed when in a dependent position. It is associated with compromised arterial blood flow.
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