Two nurses have initiated cardiopulmonary resuscitation (CPR) on a middle-aged client in apparent cardiac arrest. An automated external defibrillator (AED) is not available and the arrival of emergency resuscitation personnel is delayed
When should the nurse first assess the victim to determine whether CPR is effective? A) After five cycles of compressions and ventilations
B) After the arrival of emergency resuscitation personnel
C) At the rate of 15 compressions to 2 ventilations
D) After the client shows signs of spontaneous breathing
A
Feedback:
The nurses or rescuers should perform an assessment after five cycles of compressions and ventilations and every few minutes thereafter. Assessment for signs of spontaneous breathing can take place only by interrupting chest compressions; such interruptions should not last more than 5 seconds. The nurse performs CPR at a rate of 15 compressions to 2 ventilations. The nurse does not wait for assessment until the emergency resuscitation personnel arrive but rather assesses the client periodically to check if the CPR is effective or not.
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