The nurse finds an adult client pulseless and breathless. After calling the code, the nurse begins single rescuer cardiopulmonary resuscitation at what rate?
1. Five compressions to each breath
2. Fifteen compressions to each two breaths
3. Thirty compressions to each two breaths
4. Forty-five compressions to each breath
Correct Answer: 3
Rationale: The 2005 guidelines from the American Heart Association recommend a compression to ventilation ratio of 30:2 for single rescuers for all clients except newborns.
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A gravida client at 32 weeks of gestation reports that she has severe lower back pain. The nurse's assessment should include:
a. Observation of posture and body mechanics. b. Palpation of the lumbar spine. c. Exercise pattern and duration. d. Ability to sleep for at least 6 hours uninterrupted.
A couple who both have a positive family history of sickle cell anemia are concerned about the potential of having a child with sickle cell disease. Which statement indicates that the couple wishes to participate in primary prevention?
1. "We need to both be treated for sickle cell anemia before we can have a baby." 2. "We will have blood tests to determine if we are carriers." 3. "We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease." 4. "Neither one of us has sickle cell disease, so any baby we have will be safe from the disease as well."
The clinic nurse assesses a newborn that is not progressing as expected. Genetic tests are ordered
The nurse explains to the parents that the laboratory tests to be done include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Chromosome analysis 2. Complete blood count 3. Phenylketonuria 4. Enzyme assay 5. Antibody titers
A client is experiencing postpartum discomfort. Three days postpartum, which analgesic will the nurse offer first?
a. Morphine b. Meperidine c. Ibuprofen d. Aspirin