CRNE Canadian Registered Nurse

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: D - Opening the airway is the next nursing action. Ventilation is only initiated when the airway is open or patent. After ventilation has been initiated, chest compressions are done.
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