Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
2. A nurse prepares to administer cardiopulmonary resuscitation (CPR). Which actions should the nurse take? Place in sequential order.
Test-Taking Tip
Remember: the heart is the first priority.
Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Medical Emergencies
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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After determining that the client is nonresponsive and not breathing or is gasping for air, the nurse or someone else calls for help. The pulse is palpated for 10 seconds, and if no pulse is palpated, the client is positioned properly to perform CPR. The order is: 30 chest compressions at 100/min, open the airway, and then 2 breaths. ABC has been changed to CAB; the emphasis is on chest compressions.