During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, "CLEAR!" Which action should the nurse implement immediately?

Verify the conductive gel pads to ensure proper placement

Step away from the bed and make sure all others have done the same

Shut off the intravenous infusion going into the client's arm

Shut off the mechanical ventilator

Answer and Explanation

The Correct Answer is B

Choice A reason: Verifying the conductive gel pads is important but should be done before the command "CLEAR!" is given.

Choice B reason: Stepping away from the bed and ensuring others have done the same is crucial for safety. It prevents accidental electrical shock to anyone touching the patient or bed during defibrillation.

Choice C reason: Shutting off the intravenous infusion is not necessary during defibrillation. It does not pose a safety risk in this context.

Choice D reason: Shutting off the mechanical ventilator is not necessary during defibrillation and could compromise the patient's ventilation status.

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Correct Answer is C

Explanation

Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.

Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.

Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.

Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.

A. Lie on the side with the head of the bed at 30 degrees B. Sit on the edge of the bed with the arms supported C. Lay in a supine position in bed with arms crossed D. Sleep in a prone position with legs elevated

Correct Answer is B

Explanation

Choice A reason: Lying on the side with the head of the bed at 30 degrees may provide some comfort but is not the most effective position for easing breathing in COPD patients. Sitting upright allows for better lung expansion.

Choice B reason: Sitting on the edge of the bed with the arms supported is known as the tripod position. This position helps patients with COPD breathe more easily by allowing the diaphragm to move more freely and reducing the work of breathing.

Choice C reason: Laying in a supine position with arms crossed is not beneficial for COPD patients. This position can restrict lung expansion and make breathing more difficult.

Choice D reason: Sleeping in a prone position with legs elevated is not recommended for COPD patients. It can further restrict breathing and is uncomfortable for patients with respiratory issues.

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During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, "CLEAR!" Which action should the nurse implement immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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