The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

directly over the umbilicus

directly over the sternum

between the umbilicus and the symphysis pubis

halfway between the xiphoid process and the umbilicus

Answer and Explanation

The Correct Answer is D

A. Directly over the umbilicus: This position is too low and would not generate effective pressure on the diaphragm.
B. Directly over the sternum: Applying pressure here risks injury to the chest cavity without effectively relieving airway obstruction.
C. Between the umbilicus and the symphysis pubis: This position is too low and ineffective for compressing the diaphragm.
D. Halfway between the xiphoid process and the umbilicus: This is the correct hand placement for the Heimlich maneuver to produce effective inward and upward pressure, dislodging the obstruction.

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Correct Answer is A

Explanation

A. Start slowly and increase volume over several sessions: Gradually increasing lung volume improves compliance and helps clients build confidence with the device.
B. Be much more vigorous in increasing increments: Rapid or forceful attempts can cause hyperventilation or dizziness and are not recommended.
C. Do regular deep-breathing exercises instead: Deep breathing can be helpful but does not replace the targeted lung expansion benefits of the incentive spirometer.
D. Use another device because this one might be faulty: Device failure is rare; user education is usually more effective.

A. A nonrebreather mask B. A simple face mask C. A Venturi mask D. A partial rebreathing mask

Correct Answer is C

Explanation

A. A nonrebreather mask: This provides high concentrations of oxygen (60% to 100%) and lacks precise control over oxygen delivery.
B. A simple face mask: Delivers oxygen concentrations between 40% and 60%, but the oxygen concentration varies depending on the client's breathing pattern.
C. A Venturi mask: Provides precise and consistent oxygen delivery, making it the best choice for clients needing an exact concentration of 40% oxygen.
D. A partial rebreathing mask: Delivers concentrations between 50% and 75% without precise control.

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The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

Correct Answer is C

Explanation

The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

Which is a function of the respiratory system?

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?