A nurse is dining at a restaurant when a woman calls for help because her partner is choking.
Which of the following actions should the nurse take first?
Ask someone to call 911.
Ask the victim if he can speak.
Use the jaw-thrust maneuver.
Administer an abdominal thrust.
The Correct Answer is B
Choice A rationale:
While calling 911 is important, it is not the first action the nurse should take. The nurse should first assess the victim’s condition.
Choice B rationale:
The first action when someone is choking is to ask if they can speak. If they can speak, it means air is still passing through the windpipe.
Choice C rationale:
The jaw-thrust maneuver is used to open the airway in an unconscious victim, not in a choking victim.
Choice D rationale:
Abdominal thrusts (Heimlich maneuver) are used when the victim cannot speak, indicating a complete airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.
Choice B rationale:
Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.
Choice C rationale:
Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.
Choice D rationale:
Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.
Correct Answer is B
Explanation
Choice A rationale:
The list obtained from the client should include all medications the client is taking, regardless of who prescribed them. This includes over-the-counter medications and supplements.
Choice B rationale:
Providing a comprehensive list of medications for the client at the time of discharge is an important component of medication reconciliation. This helps to ensure the client understands what medications they should be taking, how to take them, and why they are taking them.
Choice C rationale:
The reconciliation process should be completed at each transition of care, not just when the client is first admitted to the hospital. This is to ensure that any changes in medication are accurately documented and communicated.
Choice D rationale:
A nurse should not write a verbal order in the medical record for medications the client was taking at home without confirmation from the provider. This could lead to errors in medication administration.
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