The nurse is preparing to defibrillate a client with no breathing or pulse. Which nursing action precedes the nurse pressing the discharge button?

Placing gel on the chest

Shouting, "All clear"

Stating, "Charging"

Checking the ECG rhythm

Answer and Explanation

The Correct Answer is B

A. Placing gel on the chest: Applying gel or using pre-gelled pads is done early in the preparation process. While important for conductivity, it does not directly precede defibrillation.
B. Shouting, "All clear": Before delivering a shock, the nurse must ensure no one is in contact with the client or bed to prevent accidental injury. Shouting "All clear" is a critical safety step that immediately precedes pressing the discharge button.
C. Stating, "Charging": Announcing "Charging" is done just before preparing to shock, but it occurs prior to confirming that everyone is clear of the client. It does not directly precede defibrillation.
D. Checking the ECG rhythm: Assessing the rhythm is essential to confirm that defibrillation is indicated (e.g., for ventricular fibrillation or pulseless VT), but it is completed well before the final discharge step.

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Correct Answer is B

Explanation

A. "There are many other medications that can be offered.": This prematurely suggests changing the medication without allowing adequate time for therapeutic effect. Buspirone requires consistent use over time to evaluate effectiveness.
B. "It may take up to 4 weeks for full therapeutic response.": Buspirone is a non-benzodiazepine anxiolytic that works gradually, with therapeutic effects typically developing over 2 to 4 weeks. This response provides accurate information and helps manage expectations.
C. "Call back in one week if the symptoms continue.": While follow-up is important, this response delays giving the client valuable information about the expected time frame for symptom relief, which could lead to premature discontinuation.
D. "Buspar will not eliminate all symptoms associated with anxiety.": While it's true that the goal of anxiety treatment is often symptom management rather than complete elimination, this response doesn't address the client's concern about the lack of any symptom relief after one week. It also doesn't provide information about when they might start to experience benefits.

A. Male of Hispanic descent, age 28 years B. Female of African descent, age 42 years C. Female of Chinese descent, age 18 years D. Female of Caucasian descent age 47 years

Correct Answer is D

Explanation

A. Male of Hispanic descent, age 28 years: While chronic fatigue syndrome (CFS) can affect anyone, it is less common in young males. This demographic is not considered to be at high statistical risk compared to others.
B. Female of African descent, age 42 years: Middle-aged women are at increased risk for CFS; however, epidemiological data show a higher prevalence among Caucasian women, especially in their 40s to 50s.
C. Female of Chinese descent, age 18 years: CFS is less frequently diagnosed in adolescents and young adults. While females are more commonly affected, age and ethnicity make this client a lower-risk candidate.
D. Female of Caucasian descent age 47 years: CFS most commonly affects middle-aged women, particularly those of Caucasian descent. This demographic profile aligns closely with known risk patterns for chronic fatigue syndrome.

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The nurse is preparing to defibrillate a client with no breathing or pulse. Which nursing action precedes the nurse pressing the discharge button?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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