A student nurse encounters an unresponsive patient in a waiting room. The patient is not breathing and has no pulse or respirations. The first thing they should do is
1. Begin rescue breathing.
2. Alert the emergency team.
3. Begin cardiopulmonary resuscitation (CPR).
4. Perform the Heimlich maneuver.
ANS: 2
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A pediatric nurse is providing inpatient care for a child who was diagnosed with necrotizing otitis externa. The child is currently being treated with ciprofloxacin. What microorganism is the most likely cause of this child's infection?
A) Aspergillus B) Candida albicans C) Pseudomonas aeruginosa D) Escherichia coli
The nurse is caring for a patient who has a history of congestive heart failure. The nurse includes the diagnosis fluid volume excess in the patient's care plan. Which goal statement has the highest priority for the patient and nurse?
a. The patient's lung sounds will remain clear. b. The patient will have urine output of at least 30 mL/hr. c. The patient will verbalize understanding of fluid restrictions. d. The patient's pitting pedal edema will resolve within 72 hours.
Place the steps of assisting with the cleaning of a client's hearing aid in the appropriate order Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Perform hand hygiene and wear appropriate personal protective equipment. Response 2. Remove the hearing aid and turn off and lower the volume. Response 3. Remove the earmold and soak in mild soap solution. Response 4. After throughly drying, insert hearing aid into the client's ear. Response 5. Prior to performing procedure, introduce self and identify the client. Response 6. Provide for client privacy by drawing curtains or closing the door.
A client presents with chest pain described as a pressure and squeezing sensation that is steady and severe. The nurse would suspect which system as the most likely source?
A) Cardiac B) Gastrointestinal C) Musculoskeletal D) Pulmonary