Which maneuver is recommended to open the airway of a client suspected to have a cervical spine injury?
Finger sweep
Heimlich maneuver
Head tilt/chin lift
Jaw thrust
The Correct Answer is D
A. Finger sweep:
This is used only if a foreign object is visible in the mouth or airway. It does not open the airway and can be harmful if blindly performed.
B. Heimlich maneuver:
This is used to relieve airway obstruction due to choking, not to open the airway in an unconscious client.
C. Head tilt/chin lift:
This is a common method to open the airway, but contraindicated in suspected cervical spine injury, as it may cause spinal movement.
D. Jaw thrust:
The jaw thrust maneuver is recommended because it opens the airway without moving the cervical spine, reducing the risk of spinal cord injury.
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Related Questions
Correct Answer is D
Explanation
A. Isolation of the client:
Rabies is not spread via casual contact between humans, and isolation is not necessary unless the client is actively symptomatic and at risk of biting. Transmission between humans is extremely rare.
B. Monitoring the client for fever and headache:
While monitoring for signs of infection is important, it is not a priority in the immediate management of rabies exposure. Prophylaxis must begin before symptoms appear.
C. Providing supportive care only:
Supportive care alone is not sufficient. Rabies is almost always fatal once symptoms develop, so pre-exposure or post-exposure prophylaxis is critical.
D. Administering rabies vaccine and immunoglobulin:
Post-exposure prophylaxis (PEP) includes both rabies immunoglobulin (for immediate passive immunity) and the rabies vaccine (for active long-term immunity). This is the top priority to prevent disease progression.
Correct Answer is B
Explanation
A. Focus on reducing fever and monitoring vital signs for changes:
While important, fever control alone does not address the underlying infection. Delaying treatment worsens outcomes.
B. Initiate interventions promptly to control the source once the infection is suspected:
In sepsis/SIRS, early source control (e.g., antibiotics, fluid resuscitation, possible surgical intervention) is critical to prevent progression to MODS.
C. Employ general supportive care until infection progression is evident:
Waiting for progression delays treatment. In sepsis, time is tissue - early action saves lives.
D. Confirm the infection through laboratory tests before beginning any interventions:
Lab confirmation is useful, but treatment should not be delayed for lab results when infection is suspected. Begin empiric treatment first.
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