The patient's resuscitation lasts 30 minutes. The patient's electrocardiogram (ECG) shows ventricular fibrillation, and the patient has no pulse or blood pressure. What does the nurse rely on to determine when this code should end?
a. According to the nursing unit policy
b. After 30 minutes of unresponsiveness
c. When instructed by the healthcare provid-er to stop
d. After futile results from vasoactive drugs
C
The nurse does not usually determine when to stop resuscitative efforts; it is the code leader, usually a healthcare provider, who stops the resuscitative efforts and pronounces the patient dead. Individual nursing units do not establish protocols for determining when to stop resuscitative measures because individual patients have specific needs that a single protocol cannot deliver; each resuscitation deserves the attention of the patient's healthcare provider to analyze the resus-citation efforts. An unresponsive patient after 30 minutes of resuscitation is not necessarily hopeless; thus time, as the only factor, does not determine whether resuscitation efforts should continue. If the administration of vasoactive drugs proves unsuccessful, the healthcare provider determines the next step.
You might also like to view...
What effect results from taking ecstasy (MDMA) that makes it attractive to adolescents?
a. mood enhancement b. loss of inhibition c. amnesia d. an enhanced sense of pleasure and self-confidence
What is one way in which nurses can help shape healthcare reform?
A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group
The nurse is working with a client from Southeast Asia. The client tells the nurse that she should not put the baby to breast until her milk comes in and her breasts are warm, because "cold milk" (colostrum) is bad for the baby
After the nurse explains the benefits of colostrum, the client still insists that "cold milk" is bad. Which response by the nurse is best? 1. "What kind of formula would you like to use?" 2. "That idea is folklore. Colostrum is good for the baby." 3. "Now that you are here, you need to feed your baby the right way." 4. "Let's give the baby formula after you breastfeed."
The nurse is assessing the musculoskeletal status of a 4-year-old child. What findings should the nurse consider as being expected in this client?
1. Lordosis 2. Genu valgus 3. Genu varum 4. Pronation of the feet 5. Asymmetric leg abduction