Exam 30: Administering Emergency Measures to the Hospitalized Client

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The nurse on a medical-surgical unit is caring for a client who complains of chest pain.Assessment findings include a blood pressure of 72/40,pulse rate of 40,and respiratory rate of 3 2.Which action by the nurse is the priority in this situation?

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B

The nurse enters the client's room and finds the client pulseless and not breathing.What tasks could the nurse safely assign to the unlicensed assistive personnel (UAP)in this situation?

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A,B,C,E

The nurse is preparing to document care provided to a client who received rescue breathing while being transported to radiology.Which items will the nurse include in the documentation for this client?

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A,B,C,D

For which client would the nurse not call the rapid response team?

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The nurse is called into the client's room by the family members,who report the client has stopped breathing.The nurse finds the client pulseless and not breathing.Which action by the nurse is the most appropriate in this situation?

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The nurse is attending a football game when another spectator reports chest pain and collapses.The nurse assesses the client and finds he is pulseless and not breathing.After the nurse calls for help,someone brings an AED.Which action by the nurse is the most appropriate?

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While working on the orthopedic unit,the nurse finds an assigned client pulseless and not breathing.When the code team responds,which action by the nurse is appropriate?

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The nurse working in the pediatric department of the hospital maintains competency by annually renewing which certification specific to the pediatric client?

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When performing rescue breathing in a hospital,which is the preferred method for the nurse to use until the health care provider arrives to intubate the client?

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Following a code,the nurse assigned to the client will document the events.Which items should the nurse include along with the written documentation of the event?

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The nurse is caring for a conscious adult client with an obstructed airway.When performing abdominal thrusts,which action by the nurse is appropriate?

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