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 B
Explanation
A. Removing any adhesive from the patient's skin with acetone: Acetone is highly flammable and should not be used near oxygen equipment.
B. Assessing equipment in room for frayed cords: Frayed cords can cause electrical sparks, which may ignite in an oxygen-rich environment.
C. Reducing humidification on the oxygen delivery device: Humidification is essential to prevent mucosal dryness; reducing it unnecessarily can cause airway irritation.
D. Using clothing of synthetic cloth for the patient: Synthetic materials generate static electricity, which can ignite in the presence of oxygen. Cotton clothing is preferred.
Correct Answer is B
Explanation
A) In the morning immediately after breakfast. Performing postural drainage after eating may induce nausea and vomiting.
B) Shortly after the patient arises in the morning, before breakfast. This timing allows mucus to drain more effectively since the patient has been lying down overnight, and an empty stomach minimizes the risk of vomiting.
C) 30 minutes after lunch. Postural drainage should be performed at least 1 to 2 hours after meals to prevent gastrointestinal discomfort.
D) 1 hour after supper. While this timing is better than immediately after eating, morning sessions are generally more effective.
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