A client is found in bed and the nurse determines that the client is unresponsive. Which should the nurse implement next?
1. Check the carotid or brachial pulse.
2. Activate emergency response system.
3. Perform jaw thrust to open the airway.
4. Deliver rescue breaths and start CPR.
2
2. The client's recovery depends on the restoration of breathing and perfusion, so the nurse activates the emergency system and then begins rescue breathing and chest compressions because clients have a better chance of recovery if defibrillation is in-itiated within 5 minutes.
1 and 4. The nurse restores the airway, delivers rescue breaths, and checks the pulse after activating the emergency system because the nurse wants the resuscitation team in attendance as soon as possible.
3. A jaw thrust is a reasonable nursing intervention after activating the emergency alarm to restore the client's airway without disturbing the spine.
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A student nurse is preparing to give a 48.5-lb(22-kg) child IV mannitol (Osmitrol). What action by the student causes the nursing instructor to intervene?
A. Assesses child's pain including report of headache B. Confirms the dose of 66 g in a 20% solution C. Double-checks child's urine output for the shift D. Explains to the child that nausea may occur
When an elderly person is adequately physically cared for in the home by adult children, but socially isolated and expresses no purpose or will to live, this is a sign of:
a. psychological or emotional neglect b. psychological or emotional abuse c. direct physical abuse d. physical neglect
Write the Arabic numerals for XV
What will be an ideal response?
Which instruction from the nurse is appropriate when conducting teaching to new parents regarding infant care and feeding?
1. Delay supplemental foods until the infant is 4 to 6 months old. 2. Begin diluted fruit juice at 2 months of age, but wait 3 to 5 days before trying a new food. 3. Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after 2 months of age. 4. Delay supplemental foods until the infant reaches 15 pounds or greater.