NCLEX-RN

Category - Physiological

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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, which is the next nursing action?

Administer oxygen
Initiate ventilation
Begin chest compressions
Open the airway

Explanation

Answer: C - Starting chest compressions is the next nursing action, which is crucial for keeping blood circulating. After starting chest compressions, then the airway can be opened. Ventilation is only initiated when the airway is open or patent.

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