The nurse observes a person collapse and stop breathing. The ...

[bobthebuilder]

The nurse observes a person collapse and stop breathing. The nurse would establish an airway by:
 
  a. inserting an endotracheal tube.
  b. inserting a finger to pull the tongue forward.
  c. using the head tiltchin lift maneuver.
  d. using a modified jaw-thrust maneuver.

Question 2

MC Monitoring the client's skin condition involves several specific nursing actions that include
 
  a) Check skin color
  b) Assess skin temperature
  c) Observe for areas of dryness, flaking, and texture
  d) Examine skin for water retention
  e) Observe client for alertness and attention span
  A. All except d and e
  B. All of the above
  C. All except e
  D. a and b

[pratush dev]

Answer to Question 1

C
The nurse would establish an airway by tilting the head back and lifting the chin. An endotracheal tube should not be inserted by the nurse. It is not necessary to put tension on the tongue because proper head tilt with chin thrust will remove the tongue from obstructing the airway. A modified jaw thrust would be used if a neck injury was suspected, but because this patient collapsed in front of the nurse, that would not be a concern in this scenario.

Answer to Question 2

C

[bobthebuilder]

Excellent

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TYSM