The nurse determines that the client had a cardiac arrest while ambulating in the hall. Which should the nurse use to position the client properly during CPR? (Select all that apply.)
1. Head tilt
2. Logrolling
3. Jaw thrust
4. Adequate padding
5. Semi-Fowler's position
6. Right side-lying position
2, 3
2 and 3. The nurse potentially uses logrolling to position the client onto a hard surface for chest compressions because the nurse must implement emergency care as though the client had an unstable spine, so the nurse uses logrolling to maintain spine alignment until the spine is cleared. The nurse uses the jaw thrust to open the airway of a client with a suspected unstable spine and determine whether the client has spontaneous respirations without hyperextending the neck.
1. The nurse avoids using neck hypertension. The client collapsed in the hallway and potentially suffered head or neck trauma; so, until the spine is cleared, the nurse treats the client as though the spine is unstable.
4. The nurse avoids using padding under the client until CPR is completed because it is impossible to deliver chest compressions unless the client is supine on a hard, flat surface.
5. The nurse avoids positioning the client in semi-Fowler's position during the code because supine positioning facilitates blood flow to the brain to minimize cerebral hypoxia.
6. Side lying during CPR is contraindicated because it is impossible to deliver chest compressions unless the client is supine on a hard, flat surface.
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