CPR OVERVIEW

The care team must initiate cardiopulmonary resuscitation on a client who is on a ventilator. The nurse knows to set the ventilator at which of the following breathing rates? A-8-10 respirations per minute B-4-6 respirations per minute C-6-8 respirations per minute D-12-20 respirations per minute

A-8-10 respirations per minute

A client is in the hospital after having cardiac surgery. The client's family tells the nurse that the client does not want CPR if the client's heart were to stop. During recovery from surgery, the client goes into cardiac arrest. Which action of the nurse is most appropriate? A-Begin CPR using chest compressions B-Ask the family again what they would like for the client C-Contact the provider about getting an order for a DNR D-Monitor the client and do not attempt resuscitation

A-Begin CPR using chest compressions

A nurse is working on a team performing CPR on a client who has coded in the hospital. The nurse sets up the monitor and notes that the client has a pulseless electrical activity (PEA) rhythm. The provider tells the nurse to set up for a shock. Which response from the nurse is correct? A-Clarify the client's heart rhythm with the provider before giving the shock B-Set up and prepare to deliver the shock C-Administer atropine before giving the shock D-Continue to provide bag-mask ventilation and prepare for cardioversion instead

A-Clarify the client's heart rhythm with the provider before giving the shock

A nurse is responding to a client who has collapsed in the hallway where several people are performing CPR. After two minutes, the nurse arrives with the AED, turns it on, and attaches the appropriately sized leads to the clients chest. Which step should the nurse take next? A-Clear the victim B-Press the shock button C-Check the client's heart rate D-Perform chest compressions for one full minute

A-Clear the victim

The nurse is performing CPR on a client's family member who collapsed on the floor of the hospital. The nurse finishes a 2-minute cycle of chest compressions, and the AED has analyzed the rhythm and shows "shock advised". Which of the following is should the nurse do next? A-Immediately resume compressions while the defibrillator charges B-Detach the AED and attach the victim to the defibrillator on the code cart C-Obtain the bag-mask-ventilator and give 2 breaths D-Check a carotid pulse

A-Immediately resume compressions while the defibrillator charges

A client has gone into ventricular fibrillation. Two nurses run into the room and one nurse tries unsuccessfully to find a pulse. The other nurse immediately begins CPR while the first nurse calls a code and grabs the ambu bag. What is the most important aspect of this attempted resuscitation? A-Minimizing interruptions for effective compressions B-Obtaining a STAT 12-lead ECG C-Immediate advanced airway placement D-Initiating a hypothermia protocol as soon as ROSC is obtained

A-Minimizing interruptions for effective compressions

Two nurses have responded to help an adult family member of a client who collapsed in the hallway. The person is not responding to stimulation and the first nurse checks for a carotid pulse, but does not feel anything. The client has snoring respirations. What describes the appropriate actions the nurses should perform with CPR? Select all that apply. A-Open the airway using the head-tilt-chin-lift B-Check for a pulse using the brachial artery C-Perform chest compressions at a rate of 100 per minute D-Apply chest compressions at a depth of 2 inches E-Deliver 2 breaths after giving 30 compressions

A-Open the airway using the head-tilt-chin-lift C-Perform chest compressions at a rate of 100 per minute D-Apply chest compressions at a depth of 2 inches E-Deliver 2 breaths after giving 30 compressions

The nurse is caring for a client who verbally expresses his wish to not be resuscitated. Later in the nurses shift the client codes. The nurse looks at the chart and notes that the client is listed as full code. What should the nurse do? A-Start CPR and continue until proper paperwork had been presented B-Refrain from starting CPR, because the client does not want to be resuscitated C-Call the provider to clarify D-Call the family and clarify with them

A-Start CPR and continue until proper paperwork had been presented

What are the main findings in a cardiopulmonary arrest? Select all that apply. A-Widened pulse pressure B-Absence of breathing C-Absence of pulse D-Fixed and dilated pupils E-Unconsciousness

B-Absence of breathing C-Absence of pulse E-Unconsciousness

The nurse prepares the client for defibrillation due to sustained and pulseless ventricular tachycardia. Which of the following measures should the nurse ensure before delivering the shock? A-It is synchronized with the R waves B-No one is touching the client C-The client has been NPO D-CPR is continued during the defibrillation

B-No one is touching the client