A phlebotomist finds a patient who is unresponsive and not breathing. In which of the following positions should the phlebotomist place the patient before initiating CPR?
Supine
Semi-Fowler's
Prone
Side-lying
The Correct Answer is A
Choice A Reason:
The supine position, where the patient lies flat on their back with the face upward, is the correct position for initiating CPR. This position allows for proper chest compressions and airway management, which are critical components of CPR.
Choice B Reason:
The Semi-Fowler's position, where the patient is partially sitting up with the head of the bed raised to 30-45 degrees, is not suitable for CPR. This position would make it difficult to perform effective chest compressions.
Choice C Reason:
The prone position, where the patient lies flat on their stomach, is not appropriate for CPR. Chest compressions cannot be effectively delivered in this position, and it would also complicate airway management.
Choice D Reason:
The side-lying position is not appropriate for CPR. While this position can be used for an unconscious patient who is breathing normally to maintain an open airway and prevent aspiration, it is not suitable for CPR, which requires the patient to be on their back.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
The chain of custody form is crucial in the context of a toxicology drug screen for legal purposes. It is a document that records the sequence of custody, control, transfer, analysis, and disposition of physical and electronic evidence. It is particularly important in legal cases where the results of the toxicology screen can be used as evidence in court. The chain of custody ensures that the sample has been handled properly and that the integrity of the sample has been maintained throughout the testing process.
Choice B Reason:
A requisition form is used to request a specific test or service. While it is an essential document in the process of ordering a toxicology drug screen, it does not serve the same purpose as the chain of custody in terms of legal proceedings. The requisition form typically includes patient information, the tests ordered, and the reason for the test, but it does not track the handling of the sample.
Choice C Reason:
An encounter form, also known as a superbill, is used in medical billing to capture the services provided during a patient's visit. It includes information about the patient's diagnosis, the procedures performed, and the codes for billing purposes. However, it is not specifically related to the legal aspects of a toxicology drug screen.
Choice D Reason:
The CMS 1500 form is the standard claim form used by healthcare providers to bill Medicare and Medicaid services. It is also used by some private insurers and managed care plans. Like the encounter form, it is related to billing and not to the legal chain of custody required for a toxicology drug screen.
Correct Answer is B
Explanation
Choice A reason:
A hair cap is used to prevent contamination from the hair, but it is not specifically designed to protect against body fluid splashes. While it is a part of personal protective equipment (PPE), it does not provide coverage for the areas most likely to be exposed to splashes during phlebotomy procedures.
Choice B reason:
A gown is the appropriate choice for protection against body fluid splashes. It covers a significant portion of the body and is designed to prevent fluids from reaching the phlebotomist's skin or undergarments, which is essential when there is a risk of splashes during procedures like venipuncture.
Choice C reason:
Shoe covers protect the feet from contamination, but they are not typically necessary for phlebotomy unless there is a significant risk of large fluid spills on the floor. They are more commonly used in operating rooms or during the cleaning of large spills.
Choice D reason:
Sterile gloves are a standard requirement for phlebotomy to maintain aseptic technique and prevent contamination. However, gloves alone do not provide sufficient protection against body fluid splashes that may reach other parts of the body.
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