A nurse is preparing an in-service presentation about the use of automated external defibrillators (AEDs). Which of the following instructions should the nurse include in the teaching?
"Position the client on a flat surface."
"Perform CPR while the AED is analyzing.
"Set the AED to 80 joules."
"Use an AED for a client who has atrial fibrillation."
The Correct Answer is A
Rationale:
A. "Position the client on a flat surface." Positioning the client on a flat surface is essential for effective defibrillation. A flat surface ensures the chest is stable, allowing the AED to deliver a shock more effectively and improving the chances of a successful resuscitation.
B. "Perform CPR while the AED is analyzing." CPR should be paused while the AED is analyzing to ensure accurate analysis. Performing CPR during analysis can interfere with the AED's ability to correctly assess the heart's rhythm and may delay shock delivery.
C. "Set the AED to 80 joules." Most AEDs are preset to deliver appropriate shock levels, usually between 120-200 joules, and should not be manually adjusted unless specified by the device’s instructions.
D. "Use an AED for a client who has atrial fibrillation." An AED is used to treat life-threatening arrhythmias such as ventricular fibrillation or pulseless ventricular tachycardia. Atrial fibrillation does not require defibrillation unless it progresses to a more serious arrhythmia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Pulse oximeter: A pulse oximeter is useful for monitoring oxygen saturation during suctioning, but it is not required for the procedure itself. The primary equipment needed is related to suctioning and maintaining airway patency.
B. Sterile water: Sterile water is essential for tracheostomy suctioning to keep the suction catheter sterile and to irrigate the catheter as needed. It helps to prevent infection and maintain hygiene during the procedure.
C. Nasal cannula: A nasal cannula is used for oxygen delivery, but it is not required for the suctioning procedure itself. Suctioning may be performed independently of oxygen therapy, although oxygen may be administered after suctioning if needed.
D. Yankauer catheter: A Yankauer catheter is used for oral suctioning, not for tracheostomy suctioning. For tracheostomy suctioning, a specific tracheal suction catheter is required to fit the airway.
Correct Answer is D
Explanation
Rationale:
A. Irregular heart rate: An irregular heart rate can indicate various conditions, including electrolyte imbalances or arrhythmias, but it is not a specific sign of a pneumothorax. It is more commonly associated with cardiac issues.
B. Itching over the incision: Itching at the incision site may be a result of an allergic reaction, irritation, or healing, but it is not a typical sign of pneumothorax. Pneumothorax symptoms are more related to respiratory and circulatory changes.
C. Distended neck veins: Distended neck veins can indicate various conditions, such as heart failure or fluid overload, but it is not a classic sign of pneumothorax. A pneumothorax usually causes changes in respiratory status rather than venous distention.
D. Diminished breath sounds: Diminished breath sounds are a hallmark sign of a pneumothorax. A pneumothorax occurs when air enters the pleural space, causing lung collapse. This leads to decreased lung sounds on the affected side.
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