Author Question: A nurse is conducting a basic life support (BLS) recertification class and is discussing automated ... (Read 39 times)

clippers! · **on:** Jul 22, 2018

A nurse is conducting a basic life support (BLS) recertification class and is discussing automated external defibrillation (AED) when a member of the class asks the nurse to identify the correct location for the placement of conductive gel pads to

treat ventricular fibrillation. The nurse cor-rectly responds with: 1. Bilaterally, under the right-sided and left-sided clavicles
2. Parallel, between the umbilicus and the left-sided nipple
3. Centered on the upper and lower halves of the sternum
4. Under the right-sided clavicle and to the left of the nipple in the midaxillary line

Question 2

A community health nurse is providing an educational session on childhood poisoning at a local school. The topic of the discussion is preventive measures to avoid accidental poisoning.

The nurse includes instructions that if an accidental poisoning occurs to immediately: 1. Call an ambulance.
2. Call the poison control center.
3. Induce vomiting.
4. Bring the child to the emergency department.

gstein359 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: In defibrillation, one gel pad is placed on the upper right-sided chest below the clavi-cle and the other gel pad is placed to the left of the nipple with the center in the midaxillary line. The electrode paddles are placed over the pads for defibrillation with firm pressure. Bilaterally, under the right-sided and left-sided clavicles, parallel, between the umbilicus and the left-sided nipple, and parallel, between the umbilicus and the left-sided nipple are incorrect because ef-fective defibrillation will not occur with the gel pads in these locations.

Answer to Question 2

2

Rationale: If a poisoning occurs, the poison control center should be contacted immediately. Vomiting should not be induced if the victim is unconscious or if the substance ingested was a strong corrosive or petroleum product. Bringing the child to the emergency department and call-ing an ambulance would not be the immediate actions because these would delay treatment. The poison control center may advise the mother to bring the child to the emergency department; if this is the case, the mother should call an ambulance.