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 B

Explanation

A. More than 250 mL of air moves in and out of the lungs with each breath: This describes tidal volume but does not directly stimulate the cough mechanism.
B. Foreign substances are propelled by the cilia toward the respiratory tract: Irritation by foreign particles stimulates the cough reflex to clear the airways.
C. Dehumidified air enters the upper airway passages: Dry air can cause airway irritation but does not consistently trigger a cough reflex.
D. The blood transports carbon dioxide to the lungs: This describes gas exchange, which does not directly relate to triggering the cough mechanism.

A. endotracheal tube B. partial rebreather oxygen mask C. tracheostomy D. pharyngeal airway

Correct Answer is D

Explanation

A) Endotracheal tube. An endotracheal tube is invasive and used for patients who require mechanical ventilation, not for simple airway maintenance.
B) Partial rebreather oxygen mask. A partial rebreather mask is used to deliver oxygen, not to maintain airway patency.
C) Tracheostomy. A tracheostomy is a surgical procedure for long-term airway management and is unnecessary in this scenario.
D) Pharyngeal airway. A pharyngeal airway helps maintain airway patency by preventing the tongue from obstructing the airway.

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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

The nurse clarifies that the cough mechanism is stimulated when:

Correct Answer is B

Explanation

The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

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

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

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?

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 nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should: