A nurse is teaching a group of healthcare providers about recognizing cardiac arrest. Which clinical finding is the most reliable indicator of cardiac arrest?
"Absence of a pulse"
"Irregular breathing pattern"
"Cyanosis of the lips and fingertips"
"Sudden loss of consciousness"
The Correct Answer is A
A) Correct. The absence of a pulse is the most reliable indicator of cardiac arrest. In cardiac arrest, the heart is no longer pumping effectively, leading to the absence of a palpable pulse.
B) Incorrect. An irregular breathing pattern may be observed in various medical conditions, including respiratory distress, but it is not as definitive as the absence of a pulse in indicating cardiac arrest.
C) Incorrect. Cyanosis of the lips and fingertips can occur in various situations, such as respiratory failure or decreased oxygenation, but it is not specific to cardiac arrest.
D) Incorrect. Sudden loss of consciousness can occur due to various reasons, including seizures or fainting, and is not solely indicative of cardiac arrest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. While medications are important in advanced cardiac life support, the primary goal of early recognition and response is not the immediate administration of medications.
B) Incorrect. While transporting the client to a specialized cardiac care facility is necessary for some patients, it is not the primary goal of early recognition and response.
C) Incorrect. Advanced airway management and oxygen support are important in the resuscitation process, but the primary goal at the early stage is not advanced airway management.
D) Correct. The primary goal of early recognition and response in cardiac arrest situations is to start immediate chest compressions and deliver rescue breaths to support circulation and oxygenation. These interventions are essential to maintaining blood flow and oxygen delivery to vital organs until advanced medical support is available.
Questions
Correct Answer is A
Explanation
A) Correct. The second link in the Chain of Survival is the immediate initiation of bystander CPR. When a cardiac arrest occurs, bystanders who can perform high-quality CPR increase the chances of survival for the victim until professional medical help arrives.
B) Incorrect. While the early arrival of advanced medical personnel is vital, it is not the second link in the Chain of Survival. Bystander CPR comes before advanced medical personnel in the sequence.
C) Incorrect. While the use of automated external defibrillators (AEDs) is essential, it is not the second link in the Chain of Survival. Bystander CPR is the immediate response after early recognition and activation of the emergency response system.
D) Incorrect. Administration of intravenous medications is part of advanced life support, which comes later in the Chain of Survival. The second link is focused on bystander CPR.
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