The nurse has been performing cardiopulmonary resuscitation (CPR) on an infant. Which method does the nurse use to determine its effectiveness?
a. Waits for the infant to cry after CPR ceases
b. Stops chest compressions to feel for a pulse
c. Feels for the pulse during chest compres-sions
d. Delivers 30 compressions to each rescue breath
B
The nurse palpates a brachial pulse to evaluate the effectiveness of infant CPR because it is a large, accessible artery easily palpated by a single rescuer. Although the resuscitation efforts are successful, the infant potentially does not cry after CPR. The carotid pulse on an infant is too difficult to palpate during CPR because the infant is so small and because rescue breathing oc-curs around the same area. The ratio of chest compressions to rescue breaths for two rescuers is 15:2, and for one rescuer it is 30:2.
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A patient with diabetes has a serum osmolarity level of 325 mmol/L. What is the correct interpretation and action for the nurse to take based on this result?
1. The result is somewhat high but no immediate action is necessary. 2. The result is very low and the physician should be notified of the result. 3. The result is somewhat low but no immediate action is necessary. 4. The result is very high and the physician should be notified of the result.
Where in the health history should the nurse describe all details related to the chief complaint?
a. Past history b. Chief complaint c. Present illness d. Review of systems