Question 1

The nurse enters the client's room and finds the client pulseless and not breathing. What tasks could the nurse safely assign to the assistive personnel (AP) in this situation? Select all that apply.&#10;A) Perform chest compressions.&#10;B) Get the crash cart.&#10;C) Call a code blue.&#10;D) Administer emergency medications.&#10;E) Bag the client using a bag-valve mask until the doctor arrives to intubate the client.

Accepted Answer

1. APs can be very helpful during a code and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The AP could obtain the crash cart, call a code, or bag the client if she were CPR-certified. Medication administration can be performed only by the nurse.
2. APs can be very helpful during a code and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The AP could obtain the crash cart, call a code, or bag the client if she were CPR-certified. Medication administration can be performed only by the nurse.
3. APs can be very helpful during a code and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The AP could obtain the crash cart, call a code, or bag the client if she were CPR-certified. Medication administration can be performed only by the nurse.
4. APs can be very helpful during a code and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The AP could obtain the crash cart, call a code, or bag the client if she were CPR-certified. Medication administration can be performed only by the nurse.
5. APs can be very helpful during a code and can perform chest compressions if they are CPR-certified (generally a requirement of employment). The AP could obtain the crash cart, call a code, or bag the client if she were CPR-certified. Medication administration can be performed only by the nurse.

Question 2

A person attending a sporting event is pulseless and not breathing. Which action should the nurse take when an AED is available?&#10;A) Not using the device, because it needs to be plugged in and there is no electricity&#10;B) Turning the machine on, placing the patches, and then plugging in the cable&#10;C) Connecting the cables, placing the patches, and then turning on the machine&#10;D) Placing the patches, turning on the machine, and then plugging in the cable

Accepted Answer

1. The machine should be turned on and then the patches should be placed. Only after the patches are in place and the nurse has assured that no one is touching the client should the cable be plugged into the machine. The machine will begin analyzing the rhythm and deliver a shock as soon as the cables are connected.
2. The machine should be turned on and then the patches should be placed. Only after the patches are in place and the nurse has assured that no one is touching the client should the cable be plugged into the machine. The machine will begin analyzing the rhythm and deliver a shock as soon as the cables are connected.
3. The machine should be turned on and then the patches should be placed. Only after the patches are in place and the nurse has assured that no one is touching the client should the cable be plugged into the machine. The machine will begin analyzing the rhythm and deliver a shock as soon as the cables are connected.
4. The machine should be turned on and then the patches should be placed. Only after the patches are in place and the nurse has assured that no one is touching the client should the cable be plugged into the machine. The machine will begin analyzing the rhythm and deliver a shock as soon as the cables are connected.

Question 3

A client asks the meaning of a &#34;Code Blue&#34; that is broadcast through the hospital's communication system. Which response should the nurse make?&#10;A) &#34;It means that someone has fallen.&#34;&#10;B) &#34;It means that a client has stopped breathing or the heart stopped beating.&#34;&#10;C) &#34;It means that nursing staff are needed to report to the emergency department.&#34;&#10;D) &#34;It means that a large number of clients are coming to the emergency department.&#34;

Accepted Answer

1. A Code Blue does not mean that someone has fallen.
2. A Code Blue means a cardiac or respiratory arrest.
3. A Code Blue does not mean that nursing staff are to report to the emergency department.
4. A Code Blue does not mean that a large number of clients are coming to the emergency department.

Question 4

The nurse performing cardiopulmonary resuscitation (CPR) is being relieved by another staff member. Which action should the nurse take after being relieved?&#10;A) Leave the room&#10;B) Assist as needed&#10;C) Check on other assigned clients&#10;D) Document participation in CPR

Accepted Answer

1. After being relieved of CPR, the nurse should not leave the room.
2. After being relieved of CPR, the nurse should assist as needed.
3. After being relieved of CPR, the nurse should not check on other assigned clients.
4. After being relieved of CPR, the nurse should not document participation in CPR.

Question 5

Assistive personnel (AP) trained in basic life support observes a client choking while eating breakfast. Which action should the AP take?&#10;A) Call a Code Blue&#10;B) Slap the client on the back&#10;C) Leave the room to find a nurse&#10;D) Perform the Heimlich maneuver

Accepted Answer

1. There is no need to call a Code Blue.
2. Slapping on the back is not a technique to clear the airway.
3. The client should not be left alone.
4. Because the AP is trained in basic life support, the Heimlich maneuver should be performed.

Deck 30: Administering Emergency Measures to the Hospitalized Client