Practice Quiz

NCLEX-RN

Category - Safety

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A 22-year-old cab driver has been in a car accident. When the paramedics arrived at the accident site, the driver was unconscious and not breathing. If a nurse is on the site, the initial action required is to:
  1. Start chest compressions.
  2. Give two rescue breath and extend the neck to open the airway.
  3. Assess for spinal cord injury.
  4. Give two rescue breaths by doing the jaw thrust maneuver.
Explanation
Answer: D - The initial intervention should be to give two rescue breaths by opening with the jaw thrust maneuver. Neck extension is avoided when no appropriate assessment has been done to rule out neck or head injury. CPR should be initiated immediately. Spinal cord injury is part of the secondary assessment; the client’s breathing and circulation should be established first.
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