The nurse is caring for a conscious adult client with an obstructed airway. When performing abdominal thrusts, which action by the nurse is appropriate?
1. Making a fist with one hand, with the thumb on top, and placing the thumb just below the xiphoid process
2. Using the side of the hand and placing it just above the xiphoid process
3. Grasping the fist with the other hand and placing the flat of the hand into the client's abdomen
4. Making a fist with one hand, tucking the thumb inside the fist, grasping the hand with the other fist, and pushing the fist above the victim's navel and below the xiphoid process
Correct Answer: 4
The nurse should make a fist with one hand and tuck the thumb inside the fist to avoid injuring the client. The other hand grasps the fist, which is pushed into the abdomen above the navel and below the xiphoid process. The other options would injure the client, and demonstrate incorrect technique.
You might also like to view...
The nurse is caring for a 22-year-old female patient who is 2 days post craniotomy for a brain tumor. She was doing well until 2 a.m., when she begins crying and asks for her mother
She has a Glasgow Coma Scale (GCS) of 15, and pupils are equal and reactive. Her mother is sleeping in the visitors' lounge. What nursing action would be most appropriate at this time? a. Administer an as-needed sedative to calm the patient. b. Notify the neurosurgeon that the patient is upset and crying. c. Ask the mother to come and stay with the patient. d. Reassure the patient, and sit with her until she falls back asleep.
Which of the following results occur when nurses teach clients effectively? Select all that apply
A) Improved client outcomes B) Decreased adherence with drug regimen C) Increased ability of client to manage drug therapy D) Lengthened time for client outcomes E) Limited ability of client to manage drug therapy
The family of a patient recovering from a stroke asks what damage to "Broca's area" means. Which is the best response by the nurse?
A. "The way you communicate will have to change." B. "Make sure there are no obstacles in the room, because sight will be a problem." C. "You'll have to speak very loudly when you talk." D. "Perhaps you would like to learn how to provide range-of-motion exercises."
A 53-year-old patient with diabetes is diligent about taking his blood sugar before meals. This is an example of the third component of which model?
A. Basic Human Needs B. Health Belief C. Holistic Health D. Tertiary Prevention