The nurse is caring for a conscious adult client with an obstructed airway. When performing abdominal thrusts, which action by the nurse is appropriate?
1. Making a fist with one hand, with the thumb on top, and placing the thumb just below the xiphoid process
2. Using the side of the hand and placing it just above the xiphoid process
3. Grasping the fist with the other hand and placing the flat of the hand into the client's abdomen
4. Making a fist with one hand, tucking the thumb inside the fist, grasping the hand with the other fist, and pushing the fist above the victim's navel and below the xiphoid process
4
Rationale 1: This would injure the client, and demonstrate incorrect technique.
Rationale 2: This would injure the client, and demonstrate incorrect technique.
Rationale 3: This would injure the client, and demonstrate incorrect technique.
Rationale 4: The nurse should make a fist with one hand and tuck the thumb inside the fist to avoid injuring the client. The other hand grasps the fist, which is pushed into the abdomen above the navel and below the xiphoid process.
Global Rationale: The nurse should make a fist with one hand and tuck the thumb inside the fist to avoid injuring the client. The other hand grasps the fist, which is pushed into the abdomen above the navel and below the xiphoid process. The other options would injure the client, and demonstrate incorrect technique.
You might also like to view...
Which of the following best describes the pattern of maternal mortality since World War II?
A) It has steadily decreased. B) It has remained constant. C) It has steadily increased. D) After decreasing until the 1960s, it has increased steadily.
List three characteristics that should be used in describing a murmur
What will be an ideal response?
The nurse is conducting a health history for an older adult patient who states, "I seem to have more trouble driving at night the older that I get." When teaching the patient why this occurs, which will the nurse include in the teaching session?
1) Decreased contraction of ciliary body 2) Degeneration of cones 3) Degeneration of rods 4) Arcus senilis
The nurse is working with a woman newly enrolled in an English-as-a-second-language class. The nurse wants to teach the woman about the importance of hand washing before meals
The best way to assimilate the nurse's cultural values about hygienic nutrition is to: 1. Have the nurse model proper hand washing before examining the woman. 2. Provide written materials in English about hygiene and diet for the patient to take home. 3. Have the woman repeat her interpretation of the information that was taught. 4. Schedule a medical interpreter to accompany the patient to her next visit.