While shopping in the mall, a nurse sees a lady suddenly fall to the floor. On immediate assessment, the nurse realizes she is not in cardiac arrest and has no need for cardiopulmonary resuscitation (CPR)
What should be the immediate actions by the nurse? a. Check the pulse and respirations and call for a blood pressure cuff.
b. Check the pulse, respirations, skin color, and temperature.
c. Call for help and check the pulse, respira-tion, and mental status.
d. Ask someone to help place large blankets or coats under her legs and trunk.
C
Shock treatment requires expert medical implementation. However, the nurse may provide first-line support until such help arrives. Circulatory collapse has to be monitored first; pulse, respiration, and mental status should be assessed to evaluate whether oxygen is reaching the brain.
You might also like to view...
The nurse is working with an 83-year-old who was recently widowed. The client answers questions with one word, and offers very little information without prompting. The nurse should determine that the client:
1. Is still angry about the loss. 2. Is withdrawing. 3. Remains in shock. 4. Has accepted the loss.
The nurse is helping stock Push Packages. The purpose of these packages is to:
1. transport appropriate personnel to disaster sites. 2. maintain supplies available for emergencies within 12 hours. 3. manage incoming equipment when a disaster occurs. 4. provide information booklets to communities experiencing a disaster.
A CPhT must complete 20 hours of continuing education within a 2-year period. How many of those hours must be in patient safety?
a. 20 b. 10 c. 2 d. 1
The parents of a 15-month-old child express concern to the nurse about their child's thumb-sucking habit
Which of these explanations related to the child's age and developmental level would be most appropriate for the nurse to give the parents? a. Thumb sucking at this age indicates a developmental delay and should be further assessed. b. Sucking achieves a pleasing result for infants, and generalizing that action by thumb sucking is normal. c. Thumb sucking at this age demonstrates a transition away from egocentric thinking. d. At this age, thumb sucking will enhance language development.