Author Question: When using an automated external defibrillator, it is important for the nurse to ensure that no one ... (Read 82 times)

Tazate

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When using an automated external defibrillator, it is important for the nurse to ensure that no one is touching the patient:
 
  a. after connecting the cable to the machine.
  b. when the machine is plugged in.
  c. while the pads are applied.
  d. while the machine analyzes the rhythm.

Question 2

The nurse is providing care to a patient with a tracheostomy tube that has an inner cannula . Which intervention by the nurse follows proper procedure for tracheostomy tube care?
 
  a. Carefully removes the inner cannula and places it in a basin of 1:10 bleach solution
  b. Scrubs the inner cannula on the inside and outside with a 1:10 bleach solution
  c. After scrubbing the inner cannula, rinses it with normal saline
  d. Uses a wet 4  4 gauze and cleans the inside of the outer cannula



mcarey591

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Answer to Question 1

A
The nurse needs to ensure that no one is touching the patient while the machine is analyzing because this may interfere with correct interpretation of the patient's rhythm and could put anyone touching the patient at risk of being shocked. CPR may be continued up until the machine is ready to analyze, although CPR may need to be momentarily stopped for placement of the chest pad, and when the AED instructs the user to resume CPR. There is no risk in touching the patient while the machine is plugged in, and it is not possible to apply the pads without touching the patient. CPR should be performed until an AED is brought to the patient and the cable is ready to be inserted into the machine with the pads already in place.

Answer to Question 2

C
After the inner cannula is thoroughly cleaned, it is rinsed with normal saline. The inner cannula is removed and is placed in a basin of normal saline to loosen secretions. It is scrubbed and then rinsed with normal saline. The outer cannula is not cleaned on the inside. The exposed outer cannula surfaces at the stoma are dried with a 4  4 gauze to prevent a moist environment and prohibit microorganism growth and skin excoriation.



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