A nurse is performing CPR on an adult client. The nurse knows ...

[evelyn o bentley]

A nurse is performing CPR on an adult client. The nurse knows that for the chest compression to be effective, the correct ratio of chest compressions to rescue breaths should be
 
  A) 60:4
  B) 15:2
  C) 30:3
  D) 30:2

Question 2

A nurse on a home visit to a healthy elderly client finds that too much clutter has accumulated in the house. Which of the following is the most appropriate nursing diagnosis for the client?
 
  A) Impaired home maintenance
  B) Disturbed sensory perception
  C) Impaired mobility
  D) Ineffective coping

[kusterl]

Answer to Question 1

D
Feedback:
The correct sequence is 30 chest compressions followed by 2 rescue breaths, or a ratio of 30:2 . If there are 2 rescuers and the client is less than 1 year, the ratio is 15 compressions to 2 breaths (15:2); if the rescuer is alone; a 30:2 ratio is maintained.

Answer to Question 2

A
Feedback:
The most appropriate nursing diagnosis for the client is impaired home maintenance. Clutter may accumulate around the house if an older adult lacks the energy to clean or does not want to discard old items. Diagnoses of disturbed sensory perception, impaired mobility, or impaired coping may not necessarily be applicable.