ANCC Medical-Surgical Nursing Exam Prep

Category - Pulmonary

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Which initial nursing assessment finding would best indicate that a client has been successfully resuscitated after a cardio-respiratory arrest?

Skin warm and dry
Pupils equal and react to light
Palpable carotid pulse
Positive Babinski’s reflex

Explanation

Answer - C - Palpable carotid pulse. Presence of a palpable carotid pulse indicates the return of cardiac function which, together with the return of breathing, is the primary goal of CPR. Pulsations in arteries indicate blood flowing in the blood vessels with each cardiac contraction. Signs of effective tissue perfusion will be noted after.

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