The nurse is caring for a client with a terminal illness who has become pulseless. The code status for the client is unknown to the nurse and a hospital emergency response is called. Which of the following actions should the nurse take?

Verify the client's code status.

Begin cardiopulmonary resuscitation.

Provide comfort measures until family arrives.

Initiate a slow code response.

Answer and Explanation

The Correct Answer is B

A. Verify the client's code status: Although verifying code status is important, it may delay necessary emergency interventions. In an urgent situation where the code status is unknown, immediate action is required.

B. Begin cardiopulmonary resuscitation (CPR). When a client is pulseless and the code status is unknown, the priority is to start CPR while emergency services are called. This ensures that the client receives potentially life-saving care promptly.

C. Provide comfort measures until family arrives. This is not appropriate if the client is pulseless and immediate resuscitation efforts are needed.

D. Initiate a slow code response. A slow code is not appropriate in an emergency situation where the patient requires immediate resuscitation.

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Correct Answer is B

Explanation

A. The client who is recovering from a motor vehicle collision. This situation involves an acute stressor related to trauma, which is significant but not a developmental stressor.

B. The client that is recently divorced. Divorce is a significant life event that can contribute to developmental stress, especially if it involves major life changes and adjustment issues.

C. The client experiencing the symptoms of menopause. Menopause is a normal developmental phase, though it can be stressful. However, it is less likely to be classified as a significant risk factor compared to other life events.

D. The client newly diagnosed with lung cancer. A new cancer diagnosis is a major stressor and can contribute to significant emotional and psychological stress, but it is more of an acute stressor than a developmental one.

A. Rotation B. Dorsiflexion C. Eversion D. Extension E. Adduction

Correct Answer is ["A","D","E"]

Explanation

A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.

B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.

C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.

D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.

E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.

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The nurse is caring for a client with a terminal illness who has become pulseless. The code status for the client is unknown to the nurse and a hospital emergency response is called. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing clients for risk factors of experiencing developmental stress. Which of the following clients should the nurse identify has having a risk factor?

Correct Answer is B

Explanation

The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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