A nurse is assisting an obese client with a total airway ...

[ap345]

A nurse is assisting an obese client with a total airway obstruction caused by a large piece of food. Which of the following actions should the nurse take to relieve the client's obstruction?
 
  A) Give five back blows.
  B) Give five subdiaphragmatic thrusts.
  C) Give a chest thrust with two fingers.
  D) Give five chest thrusts.

Question 2

Which of the following measures should the nurse take when caring for the hospitalized client with TB?
 
  a. Double-bag and dispose of client secretions as infectious waste.
  b. Wear gown, gloves, goggles, head cover, particulate respiratory mask, and shoe covers when entering the client's room.
  c. Instruct the client to wear a surgical mask at all times.
  d. Select reusable care items and keep them in the client's room.

[kalskdjl1212]

Answer to Question 1

B
Feedback:
For all people older than 1 year, the rescuer gives a series of five quick subdiaphragmatic (abdominal) upward thrusts slightly above the navel. These guidelines do not differ based on whether the client is obese. Nurses give chest thrusts with two fingers to infants along with alternating back blows.

Answer to Question 2

A
Nursing care of a client initially hospitalized with active TB involves using airborne precautions in addition to Standard Precautions and placing the client in an isolation room with negative air pressure. Health care personnel should use particulate respirator masks. The client is instructed to cover his or her mouth and nose when coughing or sneezing. The nurse monitors the client's respiratory status and instructs the client and family about the disease process (e.g., symptoms disappear well before organisms are eliminated from the body) and the necessity of long-term therapy. The nurse should emphasize the importance of the medication regimen, including the consequences of noncompliance for the client and family. If needed, community health referrals for home care should be arranged.