CRNE Exam Prep

Category - Changes in Health

A client is found unresponsive on the floor. On assessment, the nurse notes that the client is not breathing and is pulseless. After activating the medical resuscitation team, what is the next nursing action?
  1. Administer oxygen
  2. Initiate ventilation
  3. Begin chest compressions
  4. Open the airway
Explanation
Answer: C - New standards in CPR emphasize chest compressions over airway, so the next step after calling for help is to check the pulse and begin chest compressions. Chest compressions should be given immediately (30 for an adult patient), and then followed by opening the airway and beginning respirations. Ventilation is only initiated when the airway is open or patent, as oxygen is not needed until the patient is breathing.
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