A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:
deliver two quick short breaths into the patient's airway
tilt the head by placing one hand on the forehead and lift the chin
call for help or, if there is assistance, have that person get help
position the fingers over the carotid artery to feel for a pulse
The Correct Answer is C
A. Deliver two quick short breaths into the patient's airway: Rescue breaths are not performed until airway patency and circulation are assessed.
B. Tilt the head by placing one hand on the forehead and lift the chin: This technique opens the airway but should follow calling for help and basic assessment.
C. Call for help or, if there is assistance, have that person get help: Activating emergency services is critical for obtaining additional life-saving resources.
D. Position the fingers over the carotid artery to feel for a pulse: Pulse checks come after calling for help in the Basic Life Support (BLS) algorithm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Taping all connections within the system. Taping all connections helps prevent air leaks, which can compromise the function of the chest drainage system.
B) Turning on suction to 35 cm. Suction levels are typically set between 10 to 20 cm of water pressure. 35 cm is excessive and may cause lung tissue damage.
C) Keeping the system at the level of the patient's chest. The drainage system should always be kept below the level of the chest to promote gravity drainage and prevent backflow.
D) Looping the tubing between the mattress and the bed rail to minimize length. Tubing should not be looped or kinked, as this can obstruct drainage and compromise system function.
Correct Answer is D
Explanation
A. Directly over the umbilicus: This position is too low and would not generate effective pressure on the diaphragm.
B. Directly over the sternum: Applying pressure here risks injury to the chest cavity without effectively relieving airway obstruction.
C. Between the umbilicus and the symphysis pubis: This position is too low and ineffective for compressing the diaphragm.
D. Halfway between the xiphoid process and the umbilicus: This is the correct hand placement for the Heimlich maneuver to produce effective inward and upward pressure, dislodging the obstruction.
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