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Chapter 10: Rapid Response Teams and Code Management

Introduction Critical Care Nursing 7th Edition By Sole Klein

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Chapter 10: Rapid Response Teams and Code Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse chooses which method and concentration of oxygen administration until intubation is established in a patient who has sustained a cardiopulmonary arrest?
a. Bag-valve-mask at FiO2 of 100%
b. Bag-valve-mask at FiO2 of 50%
c. Mouth-to-mask ventilation with supplemental oxygen
d. Non-rebreather mask at FiO2 of 100%

 

 

ANS:  A

Oxygen can be delivered via mouth to mask or with a bag-valve device connected to a mask or endotracheal tube. During resuscitation efforts, 100% oxygen is administered.

 

DIF:    Cognitive Level: Apply/Application                                  REF:   p. 212 | Table 10-3

OBJ:   Differentiate basic and advanced life-support measures used during a code.

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

  1. Laypersons should use which device to treat lethal ventricular dysrhythmias that occur outside a hospital setting?
a. Automatic external defibrillator
b. Carbon dioxide detector
c. Pocket mask
d. Transcutaneous pacemaker

 

 

ANS:  A

Because of the ease of use and efficacy in treating lethal ventricular dysrhythmias, automatic external defibrillators are recommended to be placed in a variety of public settings where they may be used by laypersons.

 

DIF:    Cognitive Level: Understand/Comprehension                    REF:   p. 218

OBJ:   Identify equipment used during a code.

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

  1. When doing manual ventilations during a code, the nurse would administer ventilations following which guideline?
a. Approximately 8 to 10 breaths per minute
b. During the fifth chest compression
c. Every 3 seconds or 20 times per minute
d. While compressions are stopped

 

 

ANS:  A

Manual ventilations are delivered one breath every 6 to 8 seconds or approximately 8 to 10 breaths per minute.

 

DIF:    Cognitive Level: Apply/Application                                  REF:   p. 212 | Table 10-3

OBJ:   Differentiate basic and advanced life-support measures used during a code.

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

  1. The patient has been admitted to a critical care unit with a diagnosis of acute myocardial infarction. Suddenly the monitor alarms and the screen shows a flat line. What action should the nurse take first?
a. Administer epinephrine by intravenous push.
b. Begin chest compressions.
c. Check patient for unresponsiveness.
d. Defibrillate at 360 J.

 

 

ANS:  C

The first intervention is to assess unresponsiveness.

 

DIF:    Cognitive Level: Apply/Application                                  REF:   p. 214

OBJ:   Differentiate basic and advanced life-support measures used during a code.

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

  1. During a code, the nurse would place paddles for anterior defibrillation in what locations?
a. Second intercostal space, left sternal border and fourth intercostal space, left midclavicular line
b. Second intercostal space, right sternal border and fourth intercostal space, left midaxillary line
c. Second intercostal space, right sternal border and fifth intercostal space, left midclavicular line
d. Fourth intercostal space, right sternal border and fifth intercostal space, left midclavicular line

 

 

ANS:  C

Anterior paddle placement is used most often for defibrillation. In the anterior method, one paddle or adhesive electrode pad is placed at the second intercostal space to the right of the sternum, and the other paddle or adhesive electrode pad is placed at the fifth intercostal space, midaxillary line, to the left of the sternum.

 

DIF:    Cognitive Level: Apply/Application                                  REF:   p. 216 | Figure 10-8

OBJ:   Differentiate basic and advanced life-support measures used during a code.

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

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