17.ID: 8482500779A nurse is having dinner at a restaurant when a man sitting at the next table collapses and falls to the floor. The nurse yells for help and quickly assesses the client, noting that the client is not breathing and does not have a pulse. The nurse initiates cardiopulmonary resuscitation (CPR) immediately, and the restaurant manager rushes to the scene with an automatic external defibrillator (AED). What should the nurse do next? Use the AED CorrectStop the resuscitation effortsPerform CPR until emergency medical services arrivesCheck for a pulse for 30 seconds before continuing CPR°Rationale:Basic components of CPR include immediate recognition of the sudden cardiac arrest (unresponsiveness and absence of normal breathing) and activation of the emergency response system, early CPR, and rapid defibrillation with the use of an AED. ° ° Test-Taking Strategy: Use the process of elimination. Eliminate the options that are comparable or alike in that they indicate that the resuscitation efforts should be terminated. To select from the remaining options it is necessary to know the components of CPR. Review the components of CPR and the procedure for using an AED if you had difficulty with this question. ° ° Reference: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed., p. 1466). St. Louis: Saunders. °
° Level of Cognitive Ability: Applying ° ° Client Needs: Physiological Integrity ° ° Integrated Process: Nursing Process/Implementation ° ° Content Area: Basic Life Support Awarded 1.0 points out of 1.0 possible points. ° 18.ID: 8482499110A client with cancer of the larynx is receiving external radiation therapy of the neck. Which side effect related specifically to the site of irradiation does the nurse tell the client to expect? ° ° Test-Taking Strategy: Use the process of elimination and note the strategic words “related specifically to the site.” Focus on the anatomical location of the radiation therapy to identify the correct option. Review the effects of radiation therapy if you had difficulty with this question. ° ° Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 599). St. Louis: Saunders. ° ° Level of Cognitive Ability: Applying ° ° Client Needs: Physiological Integrity ° ° Integrated Process: Nursing Process/Implementation ° ° Content Area: Adult Health/Oncology Awarded 1.0 points out of 1.0 possible points. °
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