The nurse caring for clients in the ICU notices that a client is not breathing. What would be the immediate nursing intervention for this client?
A) Initiate chest compressions
B) Initiate respirations
C) Stabilize the neck
D) Call for assistance
D
Feedback:
When a client is not breathing, the nurse should immediately call for assistance, then initiate chest compressions and respirations. The nurse should stabilize, but not hyperextend or turn, the neck of a person who has experienced possible neck or back injury.
You might also like to view...
A nurse is working with an older adult who has never exercised despite understanding the health benefits. What can the nurse do to improve the chances that this adult will begin an exercise regimen?
A. Ask the patient if dancing sounds like fun. B. Encourage the patient to join a fitness club. C. Explain how exercise increases independence. D. Have the family talk with the patient about it.
The Nurse Licensure Compact is:
a. a plan for all nurses to need only one license with a large annual fee b. a project of the National Council of State Boards of Nursing c. a type of specialized organizational tool used in licensure and the NCLEX examinations d. a spin-off of EEOC legislation
A nurse is reviewing the medical records of several older adult patients. The nurse determines that which individual would have the least chance of developing mental health problems with aging?
A) A man who is single, has an eighth grade education, and walks to the mailbox and back every day B) A woman who is married with graduate education, eats nutritionally balanced meals, and exercises for 20 minutes each day C) A man who is married, has a high school education, eats mostly fast food, and walks a mile each day D) A woman who is single, has a college degree and watches what she eats but really does not exercise
Case management has been proposed as a cost-effective model of psychiatric care for mentally ill clients. Which of the following describe(s) the focus of case management?
A) Return to the practice of institutionalizing chronically ill clients B) Short-term inpatient, crisis stabilization, and community referral C) Increased use of psychotropic medication to stabilize psychotic behavior quickly D) Infrequent use of partial hospitalization and increased use of inpatient treatment