The nurse determines that the client is in cardiac arrest. Which does the nurse delegate to the nursing assistant?
1. Deliver chest compressions.
2. Help with client positioning.
3. Inform family about the client.
4. Prepare emergency medications.
2
2. The nurse instructs the nursing assistant to help position the client including lo-grolling onto a backboard or other positions for resuscitative measures because the nursing assistant receives training to perform the task. Agency policy usually dictates nursing responsibilities during a code.
1. Although assistive personnel are trained to perform basic CPR and use the auto-matic external defibrillator (AED), the nurse is present, so the nurse delivers chest compressions.
3. The nurse avoids delegating family communication to the nursing assistant because the nurse has the critical thinking skills and clinical judgment to discuss the client with the family and to provide meaningful information.
4. The nurse retains responsibility for medications during a code because the nurse receives training to administer emergency medications properly.
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xa. Hands b. Head c. Back d. Feet
Assessment of a fetus identifies the buttocks as the presenting part, with the legs extended upward. The nurse identifies this as which type of breech presentation?
A) Frank B) Full C) Complete D) Footling
Parents ask the nurse, "How should we deal with our toddler's regression since our new baby has come home?" The nurse should give the parents which response?
a. "Introduce new areas of learning." b. "Use time-out as punishment when regression occurs." c. "Ignore the behavior and praise appropriate behavior." d. "Explain to the toddler that the behavior is not acceptable."
The nurse is caring for a client with a large wound on her right hip. What nursing measure is the most essential for the client?
1. Keep the client from lying on her right side. 2. Turn the client from side to side every 2 hours. 3. Keep the client on continuous bed rest. 4. Keep the client upright in a chair for a minimum of 8 hours per 24-hour period.