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 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.

A. 25 and 50 mm Hg B. 80 and 120 mm Hg C. 120 and 180 mm Hg D. 50 and 75 mm Hg

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

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?

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

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

What is the most common cause of airway obstruction in the unconscious person?

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?