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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.

Choice B rationale:

Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.

Choice C rationale:

Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.

Choice D rationale:

Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.

A. Place the client in a modified Trendelenburg position. B. Apply pressure directly to the wound. C. Elevate the extremity. D. Apply a tourniquet just above the wound.

Correct Answer is B

Explanation

Choice A rationale:

Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.

Choice B rationale:

Applying direct pressure to the wound is the first action to take to control bleeding.

Choice C rationale:

Elevating the extremity can help control bleeding, but it is not the first action to take.

Choice D rationale:

Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound.Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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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?