The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?
Administer Atropine M
Defibrillate with 360 joules
Begin CPR
Administer Epinephrine N
The Correct Answer is C
Choice A rationale: Atropine is not typically used in the treatment of cardiac arrest91011.
Choice B rationale: Defibrillation is not the first step in the treatment of cardiac arrest. The first step is to start CPR91011.
Choice C rationale: Starting CPR is the first action when a patient is unresponsive and pulseless91011.
Choice D rationale: While epinephrine is used in the treatment of cardiac arrest, it is not the first step. The first step is to start CPR91011.
So, the correct answer is Choice C, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Imagery therapy is a mind-body intervention that does not interfere with pacemakers9.
Choice B rationale: Magnetic therapy can interfere with the functioning of pacemakers910.
Choice C rationale: Relaxation therapy is a mind-body intervention that does not interfere with pacemakers9.
Choice D rationale: Yoga therapy is a physical intervention that does not interfere with pacemakers9. So, the correct answer is Choice B, after analyzing all choices.
Correct Answer is C
Explanation
Choice A rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream6789.
Choice B rationale: It is not necessary to go to the hospital to take the medication. The medication can be taken at the onset of chest pain6789.
Choice C rationale: This is the correct instruction. At the onset of chest pain, the patient should lie or sit down and place one tablet under the tongue6789.
Choice D rationale: If one tablet does not relieve the pain in 5 minutes, a second tablet may be taken. If the pain continues for another 5 minutes, a third tablet may be used. If the patient still has chest pain after a total of 3 tablets, they should seek immediate medical attention6789.
So, the correct answer is C, after analysing all choices
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