A nurse is working in the medical-surgical unit when the code alarm goes off

A nurse is working in the medical-surgical unit when the code alarm goes off, signifying that one of the clients on the unit is in cardiac arrest. The nurse steps in to the room to help with the code and starts to provide chest compressions to the client. Which of the following elements are part of providing external chest compressions during CPR? Select all that apply.

A client with an injury to his chest has developed cardiac tamponade.

A client with an injury to his chest has developed cardiac tamponade. The client’s blood pressure has dropped from 110/70 mmHg to 78/56 mmHg. The provider is preparing to perform a pericardiocentesis to remove the excess fluid around the client’s heart. Which action best describes the role of the nurse in assisting with this procedure?

A client with an injury to his chest has developed cardiac tamponade.

A client with an injury to his chest has developed cardiac tamponade. The client’s blood pressure has dropped from 110/70 mmHg to 78/56 mmHg. The provider is preparing to perform a pericardiocentesis to remove the excess fluid around the client’s heart. Which action best describes the role of the nurse in assisting with this procedure?

a client who underwent open-heart surgery 12 hours ago.

A nurse is caring for a client who underwent open-heart surgery 12 hours ago. While recovering, the client develops chest pain and becomes very restless. After testing, the provider determines that the client has developed cardiac tamponade. Which describes the most likely treatment for this condition?

a 68-year-old client with cardiac dysrhythmias

A nurse is working with a 68-year-old client with cardiac dysrhythmias who has cool skin, poor pulses, and mental status changes. Which of the following conditions is this client most likely experiencing?

A client who is recovering from cardiac catheterization

A client who is recovering from cardiac catheterization has developed low blood pressure and jugular venous distention. The nurse auscultates the client’s chest and notes clear lung sounds, but muffled heart sounds. Which action would the nurse perform first?

A client in the ICU has gone into cardiac arrest.

A client in the ICU has gone into cardiac arrest. The code team has arrived and begun compressions. The nurse brings in the crash cart and sets up the defibrillator. Which of the following would be a shockable rhythm for defibrillation? Select all that apply.

The nurse is caring for a client with respiratory acidosis

The nurse is caring for a client with respiratory acidosis due to a benzodiazepine overdose. Which of the following nursing interventions are appropriate for this client? Select all that apply.

A client is scheduled for a BAL, or bronchoalveolar lavage.

A client is scheduled for a BAL, or bronchoalveolar lavage. What is the best description of this procedure?

A nurse checks a client’s oxygen saturation by using a bedside sensory probe.

A nurse checks a client’s oxygen saturation by using a bedside sensory probe. The client has pneumonia that is currently being treated with antibiotics. When the nurse places the pulse oximeter probe on the client, the first reading she notes is 89 percent. Which of the following actions should the nurse perform first?