Standing in a fast food line, the person in front, while munching on a cookie, begins to cough heavily, with deep inspirations, and waves his arms around wildly. The nurse should immediately:
1. start rescue breathing as quickly as possible.
2. start chest compressions as quickly as possible.
3. perform the Heimlich maneuver.
4. do nothing at this point as long as there is air exchange.
4
When a person chokes, if he or she is alert enough to be attempting to cough and force the obstruction up and out by themselves, it is best to let them do it alone, because there is more expelling force that way. Only if the person is showing signs of not being able to breathe beyond the obstruction should the Heimlich maneuver be applied.
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A postoperative patient has orders for morphine sulfate 1 to 2 mg IV every 1 hour PRN for severe pain and acetaminophen-hydrocodone [Lortab] 7.5 mg PO every 4 to 6 hours PRN for moderate pain
The patient reports pain at a level of 8 on a scale of 1 to 10, with 10 being the worst pain. Which action by the nurse is appropriate? a. Administer acetaminophen-hydrocodone 7.5 mg PO every 4 hours. b. Administer acetaminophen-hydrocodone 7.5 mg PO every 6 hours and change to every 4 hours if not effective. c. Administer morphine sulfate 1 mg IV every 1 hour until pain subsides. d. Administer morphine sulfate 2 mg IV and evaluate the patient's pain in 15 to 30 mi-nutes.
The nurse is caring for a 36-year-old male patient newly diagnosed with multiple sclerosis (MS). The patient asks if he can continue to take echinacea to help boost his immune system. The nurse's best response is
a. "Limit use to no more than 8 weeks at a time." b. "Echinacea use is not recommended for patients with autoimmune diseases." c. "What other medications are you taking?" d. "That is a decision that you will need to make independently."
A patient recovering from surgery asks the nurse what types of anesthesia cause a loss of sensation in a specific area of the body while the patient remains alert. Which responses should the nurse give? (Select all that apply.)
a. "Local anesthesia." b. "Spinal anesthesia." c. "Topical anesthesia." d. "General anesthesia." e. "Epidural anesthesia."
The nurse checks a patient's casted right leg resting upon a pillow and finds that the cast appears too tight. What should the nurse do?
a. Notify the RN. b. Administer pain medication. c. Apply an extra blanket to the leg. d. Remove the pillow under the cast.