Author Question: The nurse is determining a client's risk for injury. What will the nurse assess in this client? ... (Read 88 times)

ts19998 · **on:** Jul 23, 2018

The nurse is determining a client's risk for injury. What will the nurse assess in this client?

1. Age.
2. Mobility.
3. Hearing.
4. Vision.
5. Dietary intake.

Question 2

While eating in a restaurant, a nurse notices that a customer at the next table begins to clutch his throat while eating a steak. Which of the following responses would the nurse perform first?

1. Ask the customer if he is choking.
2. Attempt to give five back blows.
3. Perform the Heimlich maneuver.
4. Start chest compressions.

softEldritch · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: The ability of a person to protect himself from injury is dependent upon age.
Rationale 2: The ability of a person to protect himself from injury is dependent upon mobility.
Rationale 3: The ability of a person to protect himself from injury is dependent upon hearing.
Rationale 4: The ability of a person to protect himself from injury is dependent upon vision.
Rationale 5: The ability of a person to protect himself from injury is not dependent upon dietary intake.

Answer to Question 2

Correct Answer: 1
Rationale 1: The first step is to ask if the person is choking.
Rationale 2: Five back blows are reserved for an infant who is choking.
Rationale 3: If he indicates he is, the next step would be to perform the Heimlich maneuver.
Rationale 4: Chest compressions would be given if the person was unconscious; this client is not. He is clutching his throat.