Author Question: An adult collapsed at the grocery store. Before being transported to the emergency department, an ... (Read 41 times)

naturalchemist · **on:** Jul 22, 2018

An adult collapsed at the grocery store. Before being transported to the emergency department, an automated external defibrillator (AED) was used.

The nurse remembers learning that the AED is effective in saving a life because of which factors? (Select all that apply.) a. Use of an AED strengthens the chain of survival.
b. The AED can be used by nonmedical personnel.
c. The AED sends heart rhythm to the clos-est emergency room (ER) for the physician to analyze and give orders.
d. Every minute without defibrillation de-creases the survival rate by 7 to 10.
e. The AED will automatically deliver a shock to the victim after announcing, Everyone stand back.

Question 2

A roller sheet has been placed under an elderly client who is receiving treatment for failure to thrive. When using a roller sheet in a client's care, the nurse must

A) Keep the siderails raised to prevent the client from rolling off the side of the bed.
B) Ensure that the roller sheet is kept dry and wrinkle-free.
C) First ensure that the client is able to roll side-to-side independently.
D) Insert an indwelling urinary catheter to protect the roller sheet from urine.

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

Answer to Question 1

A, B, D
The following is information on the use of an automated external defibrillator (AED):
The automated external defibrillator (AED) is a device used to administer an electrical shock through the chest wall to the heart.
The AED has a built-in computer that assesses the victim's heart rhythm and determines if defibrillation is needed.
The rescuer delivers a shock to the victim after announcing, Everyone stand back.
The AED can be used by nonmedical personnel.
Use of an AED strengthens the chain of survival. Every minute of a sudden cardiac death without defibrillation decreases the survival rate by 7 to 10 (American Heart Association, 2005).

Answer to Question 2

B
Feedback:
Nurses use the roller sheet to change the client to an alternate position while avoiding any stooping, reaching, or twisting. The sheet is removed after being used or kept dry and free of wrinkles to prevent skin breakdown. It does not require that the siderails be raised and a client who can move independently is unlikely to require a roller sheet. The sheet must be kept dry but a urinary catheter should not be inserted for this sole reason.