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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A nasal cannula: May cause further nasal irritation and is not ideal for patients with sinus disorders.
B. A Venturi mask: Provides precise oxygen delivery but does not address sinus-related discomfort.
C. A humidifier: Helps add moisture to the oxygen, reducing nasal and sinus irritation and improving comfort.
D. High oxygen flow rate: High flow rates without humidification exacerbate sinus irritation.
Correct Answer is B
Explanation
A. 25 and 50 mm Hg: This pressure is insufficient to effectively clear oral secretions.
B. 80 and 120 mm Hg: Recommended for safe and effective oral suctioning to prevent mucosal trauma while adequately clearing secretions.
C. 120 and 180 mm Hg: Excessive pressure can cause mucosal damage and trauma.
D. 50 and 75 mm Hg: This pressure is too low to be effective for adult oral suctioning.
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