the medical-surgical unit when the code alarm goes off

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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.

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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

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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

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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

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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 is undergoing cardiac stress testing at a rehabilitation center.

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A client is undergoing cardiac stress testing at a rehabilitation center. During the test, the nurse notes that the client becomes short of breath with a blood pressure drop from 130/80 mmHg to 98/58 mmHg. Which action of the nurse is most appropriate?

A client reports that they haven’t had a bowel movement in three days.

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A client reports that they haven’t had a bowel movement in three days. The nurse should promote which of the following to help the client with gastrointestinal peristalsis? Select all that apply.

A client presents to the emergency department with abdominal pain.

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A client presents to the emergency department with abdominal pain. The client states she has not had a bowel movement for one week. An X-ray confirms constipation, and the provider is concerned about a blockage if the client doesn’t have a bowel movement soon. Which of the following medications pulls water into the colon to soften the stool?

A client with irritable bowel syndrome

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A client with irritable bowel syndrome has asked the nurse if there is anything that can be done to decrease the frequency of diarrhea. Which of the following advice is appropriate for a client to develop regular bowel functioning? Select all that apply.