Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 37- Resuscitation
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse needs to perform the Heimlich maneuver on an 8-month-old infant with a partial airway obstruction. Which of the following actions should the nurse perform? | |
| A) | Support the client with a safety belt on a table. | |
| B) | Use the heel of one hand to administer back slaps. | |
| C) | Use finger sweeps to locate the obstruction. | |
| D) | Give a series of subdiaphragmatic thrusts. | |
| Ans: | B | |
| Feedback: | ||
| For infants, the nurse or rescuer uses the heel of one hand to administer five back slaps between the shoulder blades. The rescuer supports the baby over his or her forearm, not with a safety belt on a table or stretcher. The nurse does not use finger sweeps unless the nurse can see the obstructing object. The nurse does not give a series of subdiaphragmatic thrusts to infants but rather to children between 1 and 8 years of age; chest thrusts are used in the resuscitation of infants. | ||
| 2. | A nurse is using an automated external defibrillator (AED) to try to resuscitate a middle-aged client outside the hospital. The nurse knows that ideally, an AED should be used within how much time of beginning resuscitation efforts? | |
| A) | 3 minutes | |
| B) | 5 minutes | |
| C) | 15 minutes | |
| D) | 20 minutes | |
| Ans: | A | |
| Feedback: | ||
| Outcomes are best when defibrillation occurs within 3 minutes of chest compressions. Using an AED within 5, 15, or 20 minutes of resuscitation efforts is associated with a diminished chance of survival. | ||
| 3. | A nurse is delivering five chest thrusts to a conscious infant with an airway obstruction. Which of the following steps should the nurse take if the client becomes unconscious? | |
| A) | Turn the infant in prone position and give five back slaps. | |
| B) | Give chest thrusts at the rate of one per second. | |
| C) | Sweep a finger in the throat to see if there is an object. | |
| D) | Turn the infant supine and perform cardiopulmonary resuscitation. | |
| Ans: | D | |
| Feedback: | ||
| If the infant becomes unconscious, the rescuer performs cardiopulmonary resuscitation (CPR). A nurse does not sweep a finger inside the infant’s throat unless the object is visible. Nurses should not waste time giving chest thrusts or giving back slaps to an infant when the infant is unconscious. | ||
| 4. | A nurse needs to begin resuscitation of an injured client. Which of the following interventions carries a risk of spinal injury? | |
| A) | Head tilt technique | |
| B) | Chin lift technique | |
| C) | Jaw-thrust technique | |
| D) | Rescue breathing technique | |
| Ans: | C | |
| Feedback: | ||
| The jaw-thrust technique is not recommended for lay rescuers because it is difficult to perform safely and may cause injury to the spine. In the absence of head or neck trauma, nurses use the head tilt or chin lift technique for opening the airway. The rescue breathing technique is performed through the client’s mouth, nose, or stoma. Rescue breathing is not injurious to the spine, but rescuers should use protective face shield devices. | ||
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