An Unresponsive Client with Poor Ventilator Effort and a Pulse

question 9

Multiple Choice

An unresponsive client with poor ventilator effort and a pulse rate of 120 beats/min arrives at the emergency department.What should the nurse do first?

• A) Place the client on a non-rebreather mask.
• B) Begin bag-valve-mask ventilation.
• C) Initiate cardiopulmonary resuscitation.
• D) Prepare for chest tube insertion.

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Definitions:

Moral Reasoning

The process of determining what is right or wrong in a specific situation, based on ethical principles, values, and beliefs.

Lawrence Kohlberg

A psychologist known for his theory of moral development, which outlines how ethical reasoning and morality evolve throughout different stages of human life.

Cognitive Development

The process by which individuals acquire and understand knowledge, form concepts, solve problems, and gain insights.

Conventional Level

Kohlberg’s second level of moral development, in which right and wrong are based on the internalized standards of others; “right” is whatever helps or is approved of by others, or whatever is consistent with the laws of society.