A nurse walking in a downtown business area witnesses a worker ...

[FButt]

A nurse walking in a downtown business area witnesses a worker fall from a ladder. The nurse rushes to the victim, who is unresponsive. The nurse then opens the victim's airway by using the:
 
  1. Head tiltchin lift
  2. Head tiltjaw thrust
  3. Jaw thrust maneuver
  4. Chin lift position

Question 2

The client reports frequent use of acetaminophen (Tylenol) for relief of frequent headaches and other discomforts. The nurse should evaluate which of the diagnostic data to determine if the client is at risk for toxicity?
 
  1. The chest x-ray
  2. The upper gastrointestinal x-ray results
  3. The electrocardiogram
  4. The liver function studies

[beccamahon]

Answer to Question 1

3

Rationale: Whenever a neck injury is suspected, the jaw thrust maneuver should be used during basic life support (BLS) to open the airway. The head tiltchin lift produces hyperextension of the neck and could cause complications if a neck injury is present. There is no such position as head tiltjaw thrust or chin-lift.

Answer to Question 2

4

Rationale: In adults, overdose of acetaminophen causes liver damage. In addition, clients with liver disorders are at higher risk of experiencing hepatotoxicity with chronic acetaminophen use. The chest x-ray, the upper gastrointestinal x-ray results, and the electrocardiogram are not associated with acetaminophen overdose.

[FButt]

Gracias!

[yeungji]

Thanks for the timely response, appreciate it