Deck 29: Emergency Measures for Life Support in the Hospital Setting

Question 1

The nurse participates in the patient's resuscitation.Which patient assessment finding does the nurse determine to be an undesirable event during cardiopulmonary resuscitation (CPR)?

A) Bruising is present over the anterior thorax.
B) The abdomen has become distended.
C) The patient has an advance directive.
D) An airway is in place without gagging.

Answer 1

The abdomen has become distended.

Question 2

The nurse determines that the patient is in cardiac arrest.Which does the nurse delegate to nursing assistive personnel (NAP)?

A) Deliver chest compressions.
B) Help with patient positioning as directed.
C) Inform the family about the patient.
D) Prepare emergency medications.

Answer 2

Help with patient positioning as directed.

Question 3

The nurse is assessing an unconscious patient for placement of an oropharyngeal airway.In addition to a present gag reflex,what other conditions would make the use of the airway contraindicated? (Select all that apply.)

A) A semi-conscious patient
B) A patient with a loose tooth
C) A patient who had facial trauma
D) A patient who has had oral surgery
E) A patient with copious secretions

Answer 3

A semi-conscious patient
A patient with a loose tooth
A patient who has had oral surgery

Question 4

An AED has been applied and a shock delivered to a patient.What action should the nurse take at this time?

A) Provide 2 minutes of cardiopulmonary resuscitation (CPR) before beginning rhythm analysis and the shock sequence again.
B) Provide three cycles of CPR before beginning rhythm analysis and the shock sequence again.
C) Move nearby furniture away from the patient.
D) Announce "clear" and perform a visual check that no one is touching the patient.

Question 5

A visitor has coded in the hospital cafeteria,and several nurses witnessed the code.What is the proper procedure for initiating use of the automatic external defibrillator (AED)?

A) Provide 5 cycles of cardiopulmonary resuscitation (CPR) before shocking.
B) Place AED pads and shock as soon as possible.
C) Insert an oropharyngeal airway before shocking.
D) Place one AED pad on the upper left sternal border and one pad on the lower right side below the nipple and axilla.

Question 6

The patient's resuscitation lasts 30 minutes.The patient's electrocardiogram (ECG)shows ventricular fibrillation,and the patient has no pulse or blood pressure.What does the nurse rely on to determine when this code should end?

A) According to the nursing unit policy
B) After 30 minutes of unresponsiveness
C) When instructed by the healthcare provider to stop
D) After futile results from vasoactive drugs

Question 7

A nurse is instructing staff nurses in the use of the automatic external defibrillator (AED).Which information is essential for the nurse to share with the class?

A) For children younger than 8 years old, AED pads designed for children should be used.
B) The AED takes approximately 30 seconds to analyze the cardiac rhythm.
C) The AED is used when the patient is unconscious and has no pulse.
D) The AED is placed near the patient's feet during use.

Question 8

The nurse has just called a code and is preparing to perform cardiopulmonary resuscitation (CPR)on a child.Where does the nurse position the hands for chest compressions?

A) Puts both hands over the upper half of the child's sternum
B) Places the heel of one hand on the lower half of the sternum
C) Puts the heels of both hands on the lower third of the sternum
D) Places two fingers below the left nipple line at the sternum

Question 9

A child has choked on a hotdog while on a picnic and is unable to breathe.What method should the nurse use to try to clear the airway?

A) Use abdominal thrusts.
B) Place the child prone and push on the back.
C) Use back slaps.
D) Use chest thrusts.

Question 10

The nurse determines that the infant is in respiratory arrest from an airway obstruction caused by a foreign object.Which does the nurse implement to clear the infant's airway?

A) Applies several back slaps followed by chest thrusts
B) Aspirates the foreign object with a Yankauer suction tip
C) Holds the child upside down and strikes the anterior chest
D) Holds the child on his or her side and performs a blind finger sweep

Question 11

The nurse needs to perform chest compressions for a pulseless child.Which depth does the nurse use for each chest compression?

A) One half to 1 inch in depth
B) One to 1 1/2 inches in depth
C) One fourth to one half the depth of the chest
D) One third to one half the depth of the chest

Question 12

On entering a patient's room,the nurse determines that the patient is unresponsive.Which should the nurse implement next?

A) Check the carotid or brachial pulse.
B) Activate the emergency response system.
C) Perform a jaw thrust to open the airway.
D) Deliver rescue breaths and start cardiopulmonary resuscitation (CPR).

Question 13

The nurse is preparing to insert an oropharyngeal airway device.Which interventions will assist her in this task? (Select all that apply.)

A) Place the patient in a supine position.
B) Hold the airway curved end up initially.
C) Use a padded tongue blade to open patient's mouth.
D) Rotate the airway 90 degrees as you insert it.

Question 14

The nurse walks into a male patient's room and finds him on the floor with his eyes closed.Which should the nurse implement first?

A) Initiate cardiac compressions.
B) Call for a code from the room.
C) Help the patient back into the bed.
D) Verify patient unresponsiveness.

Question 15

The nurse has been performing cardiopulmonary resuscitation (CPR)on an adult.Which artery should the nurse check to evaluate the effectiveness of chest compressions?

A) Radial
B) Carotid
C) Brachial
D) Temporal

Question 16

The nurse is caring for four patients on the intermediate care unit and plans emergency care for the patients.Which patient is unsuitable for cardiopulmonary resuscitation (CPR)?

A) An 88-year-old patient with end-stage lung disease
B) The patient with a valid order for a no-code status
C) The patient who specifies not to perform chest compressions
D) The patient whose family does not want the patient resuscitated

Question 17

The nurse and a colleague begin cardiopulmonary resuscitation (CPR)on an adult patient.Which ratio of chest compressions to rescue breaths should be used?

A) 5:1
B) 5:2
C) 10:1
D) 30:2

Question 18

The patient is in cardiac arrest,and the nurse uses the automatic external defibrillator (AED).Which does the nurse implement to use the AED?

A) Places the AED next to the patient, turns on the unit, and follows the prompts
B) Receives training in advanced cardiac life support (ACLS)
C) Applies a shock in coordination with the chest compressions
D) Uses the automatic defibrillator instead of conventional cardiopulmonary resuscitation (CPR)

Question 19

The nurse has been performing cardiopulmonary resuscitation (CPR)on an infant.Which method does the nurse use to determine its effectiveness?

A) Waits for the infant to cry after CPR ceases
B) Stops chest compressions to feel for a pulse
C) Feels for the pulse during chest compressions
D) Delivers 30 compressions to each rescue breath

Question 20

The nurse determines that the patient had a cardiac arrest while ambulating in the hall.Which method should the nurse use to position the patient properly during cardiopulmonary resuscitation (CPR)?

A) Head tilt and right side-lying position
B) Logrolling and jaw thrust
C) Supine and head tilt
D) Jaw thrust and semi-Fowler's position

Question 21

1. A ________ _______ is the cessation of circulating blood flow that greatly reduces oxygen transport and perfusion.

Question 22

2. Oral airways devices are only used for unresponsive patients without a _______ _____.