Nclex Questions #2 Med Surg (With Rationales) Questions And Answers 100% Verified A+ Guaranteed

While teaching a health promotion group of adults, the nurse notices one person who is clutching his throat with both hands. What should the nurse do first? 1) Call 9-1-1. 2) Encourage the person to cough vigorously. 3) Ask, "Are you choking?" 4) Give five back blows. {Ans: Answer: 3) Ask, "Are you choking?" Rationale: Clutching the throat is the universal sign of choking. The first action when you suspect airway obstruction is to ask, "Are you choking?" If the person indicates "yes," or if the person cannot cough, speak, or breathe, that indicates choking. You must first be certain the person is choking because you can cause harm when you perform the choking maneuver. You would not call 9-1-1, encourage coughing, or give five back blows until you first establish that the person is choking. The client appears to be giving the universal sign for choking, but the nurse must validate the client's meaning before acting.}In which step of the nursing process does the nurse analyze data and identify client problems? 1) Assessment 2) Diagnosis 3) Planning outcomes 4) Evaluation {Ans: Answer: 2) Diagnosis Rationale: In the assessment phase, the nurse gathers data from many sources for