Id 8482500779 a nurse is having dinner at a

17. ID: 8482500779 A 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 Correct
Stop the resuscitation efforts
Perform CPR until emergency medical services arrives
Check 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
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° Content Area: Basic Life Support Awarded 1.0 points out of 1.0 possible points.
° 18. ID: 8482499110 A 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.
°