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 B
Explanation
Choice A rationale:
Discarding any partial doses found in the cabinet in the sharps container is not the correct procedure. Partial doses should be wasted in the presence of another nurse.
Choice B rationale:
Verifying that the amounts of each medication counted match the amounts on the inventory record is the correct procedure. This ensures accurate accounting of controlled substances.
Choice C rationale:
Setting aside any controlled substances the nurse plans to give during her shift is not the correct procedure. Medications should be removed from the secure cabinet as needed.
Choice D rationale:
Co-signing any notations of wasting controlled substances on the previous shift is not the correct procedure. Wasting should be witnessed and co-signed at the time it occurs.
Correct Answer is A
Explanation
Choice A rationale:
The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.
Choice B rationale:
The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.
Choice C rationale:
It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.
Choice D rationale:
Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.
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