The nursing student walks into the client's room and finds that the client is unconscious and unresponsive when his name is called. Which of the following actions would the nursing student take first?
1. Begin CPR
2. Shake the client and ask if he is all right.
3. Call for help.
4. Assess vital signs.
3
Rationale 1: For an unresponsive adult, the student first would call for help and then would shake the client gently and ask if he is all right. If the client remains unresponsive, open the airway and assess breathing. Complete vital signs are not assessed until determining whether the client has a pulse and is breathing.
You might also like to view...
Punitive damages of one million dollars were awarded to the family of a patient who died following a nursing medication error. What is true of these punitive damages?
1. The damages are awarded instead of the nurse serving prison time. 2. The jury believes the nurse's actions were an honest mistake. 3. These damages are awarded to set an example to other nurses. 4. This jury identified this case as representing simple negligence.
When caring for a pregnant adolescent, the nurse emphasizes nutrition because she knows:
1. The fetus has to be kept small to permit vaginal delivery through a small pelvis 2. All teenagers have terrible food habits 3. Adolescent mothers have to be encouraged to limit weight gain 4. The young mother must meet her own growth needs as well as those of the fetus
Parents with sickle cell anemia in their families ask the nurse to tell them which test for sickle cell anemia can be done the earliest in the prenatal period
The nurse will respond that prenatal diagnosis for sickle cell anemia can be conducted as early as 8 to 10 weeks with which of the following tests? a. chorionic villi sampling c. sickle cell solubility tests b. amnionic fluid analysis d. hemoglobin electrophoresis
A client has a deep wound with areas of exudate and eschar. Which would be the fastest way to debride this wound?
1. Surgical 2. Chemical 3. Autolytic 4. Mechanical