When applying an automated external defibrillator, the nurse ...

[kamilo84]

When applying an automated external defibrillator, the nurse would:
 
  a. connect the cable to the machine, apply the pads, and turn on the power.
  b. turn on the power, apply the pads, and connect the cable.
  c. turn on the power, connect the cable, and apply the pads.
  d. connect the cable, turn on the power, and apply the pads.

Question 2

The student nurse is providing tracheostomy care to a patient who has intratracheal secretions and a damp tracheostomy dressing and ties. Which action by the student should the nursing instructor question?
 
  a. Suctioning the tracheostomy tube before removing the soiled tracheostomy dressing
  b. Assisting the patient to semi-Fowler's position
  c. Placing new tracheostomy ties before cutting the old ties
  d. Cutting gauze pads to place around the tracheostomy tube

[dyrone]

Answer to Question 1

B
As soon as the cable is connected, the machine begins to attempt to analyze the rhythm, so the power should be turned on and the pads should be applied to the chest wall before the cable is connected to the machine. Connecting the cable, applying the pads, and then turning on the power would cause the machine to malfunction or would delay analysis while it cycles on. Connecting the cable before applying the pads could result in the rescuer being shocked.

Answer to Question 2

D
Do not use scissors to cut gauze pads as they may shed fibers that could be inhaled by the patient. Use a manufactured pad with a slit. Suctioning the tube removes secretions to avoid occluding the outer cannula while the inner cannula is removed. Usually a supine or semi-Fowler's position is used to promote patient comfort and prevent muscle strain for the nurse. If changing ties without an assistant, the old ties are not cut until the new ties are securely in place.

[kamilo84]

Thanks for the timely response, appreciate it

[tandmlomax84]

TYSM