Cardiopulmonary Resuscitation

Cardiopulmonary Resuscitation ( 36 Questions)

A nurse is assessing an unresponsive client and determines the client is not breathing and has no pulse. What is the nurse's immediate action?


Correct Answer: A

A) Correct. In the event of an unresponsive individual with no breathing and no pulse, the nurse's immediate action is to activate the emergency response system and retrieve the AED. Early access to the AED can significantly improve the chances of survival for the client in case they are experiencing a shockable rhythm.

B) Incorrect. Chest compressions should be started immediately after identifying an unresponsive individual with no pulse. The rate of compressions should be 100 to 120 compressions per minute, not 60.

C) Incorrect. The current guidelines recommend starting with chest compressions, not rescue breaths, when assessing an unresponsive individual without a pulse.

D) Incorrect. Time is critical during a cardiac arrest, and the nurse should not wait for additional healthcare providers before initiating CPR and activating the emergency response system.




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