Author Question: A nurse is administering a shock from an automated external defibrillator to a client with cardiac ... (Read 62 times)

ahriuashd · **on:** Jul 22, 2018

A nurse is administering a shock from an automated external defibrillator to a client with cardiac arrest. Which of the following is the most important action that the nurse should perform immediately prior to administering the shock?

A) Give five rescue breaths.
B) Say, Everybody clear.
C) Place both hands correctly on the client's chest.
D) Ensure that emergency medications are accessible.

Question 2

When a nurse is teaching assistive personnel to perform routine catheter care, they should be instructed to do which of the following?

a. Wear sterile gloves for the procedure.
b. Cleanse the catheter from the end toward the meatus.
c. Repeat catheter care at least three times per shift.
d. Perform perineal care before cleansing the meatus.

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

Answer to Question 1

B
Feedback:
The nurse says Everybody clear in order to prevent accidental shock to members of the team and then administers shock to the client when the automated external defibrillator (AED) indicates shock. Nurses check the correct placement of hands when performing chest compressions but would risk electrical shock by doing so during defibrillation. They administer emergency medications to the client when providing early advanced life support. Nurses do not perform rescue breathing on a client when defibrillating.

Answer to Question 2

D
Routine catheter care includes performing perineal care before cleansing the meatus to reduce the chance of transmitting bacteria to the meatal area, predisposing the client to a urethral or bladder infection.