CRNE Exam Prep

Category - Changes in Health

A client at 32 weeks gestation chokes on her food and becomes unconscious. The nurse’s immediate action is to:
  1. Perform backward chest thrusts
  2. Place the client on her back with a pillow under the right abdominal flank and hip
  3. Place the client on her left side
  4. Place the paddles one rib interspace lower than usual during defibrillation
Explanation
Answer: B - If a client becomes unconscious, chest thrusts are discontinued, and the client is placed on her back. A pillow or rolled blanket is placed under the right abdominal flank and hip to displace the uterus to the left side. If defibrillation is needed, the paddles are placed one rib interspace higher because the heart is slightly displaced by the uterus.
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