A nurse is performing mouth-to-mouth breathing for a client with signs and symptoms of respiratory arrest. The nurse is giving a breath that lasts a full second. The nurse's action should bring about which of the following desired effects?
A) Promote systemic blood flow
B) Increase pressure in the ventricles
C) Increase pressure in thoracic blood vessels
D) Prevent regurgitation and aspiration
D
Feedback:
Giving a breath that lasts a full second reduces the potential for distending the esophagus and stomach, which may promote regurgitation and aspiration. Chest compression increases pressure in the ventricles, increases pressure in thoracic blood vessels, and also promotes systemic blood flow.
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The nurse working in the PACU recognizes that the most common surgical procedure for liver cancer is:
A) Cryosurgery B) Liver transplantation C) Lobectomy D) Laser hyperthermia
The nurse is caring for a client with cirrhosis of the liver. What symptoms exhibited by the client would indicate to the nurse that he is experiencing central nervous system effects of the disease? Select all that apply
A) Asterixis B) Joint stiffness C) Positive Babinski reflex D) Cough E) Fetor hepaticus
A nurse is discussing the risk of falling with the family of a 75-year-old patient. The family asks, "Why are you so worried about her falling? She falls all the time and doesn't get hurt much
" To which fact should the nurse's response relate? a. Falls are the most frequent cause of acci-dental injury and death among older adults. b. Worrying is probably unnecessary because she hasn't been hurt in the past. c. Falls usually occur in institutional settings. d. Falls by older adults are not preventable.
What is the nursing action that has the highest priority for a client experiencing hypertonic contractions during oxytocin stimulation of labor?
a. Open up the IV. c. Stop the oxytocin infusion. b. Start oxygen per face mask. d. Turn the client on her left side.