While eating in the hospital cafeteria, the nurse sees a visitor display the "universal sign of choking." Her first action is to:
a. Page a "Code Blue" emergency.
b. Immediately perform five abdominal thrusts.
c. Assess for ineffective breathing by asking, "Are you choking?"
d. Deliver four sharp back blows between the scapulae.
C
The nurse's first response is to assess that the person is actually choking and then rapidly proceed to intervene performing abdominal thrusts. Back blows are not indicated in adults with obstructed airways and might actually create a complete obstruction by dislodging a foreign body that was only partially blocking the airway.
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