Question

A nurse witnesses an adult male collapse at the airport, and an automated external defibrillator (AED) is brought to the scene. The nurse should perform which actions in using the device?

a) Press the electrodes down firmly because the client has a hairy chest.
b) Instruct another person at the scene to keep the airway open during delivery of the electric shock.
c) Initiate CPR after 5 minutes if the AED has not restored a perfusing cardiac rhythm.
d) Quickly wipe up the spilled coffee under the victim's chest before using the AED.

Answer 1

When using an AED on a collapsed adult male at the airport, the nurse should ensure scene safety, perform CPR, and follow the prompts provided by the AED.

Step-by-step explanation:

When using an automated external defibrillator (AED) on a collapsed adult male, the nurse should follow these actions:

1. Ensure the safety of the scene and the victim.
2. Check for responsiveness by gently shaking the victim and shouting for a response.
3. If the victim is unresponsive, call for emergency medical assistance or instruct someone else to call.
4. Begin performing CPR by providing chest compressions and rescue breaths.
5. Once the AED is available, turn it on and follow the prompts provided by the device. These prompts will guide the nurse on proper placement of the AED pads on the victim's chest.
6. Clear the area and allow the AED to analyze the victim's heart rhythm.
7. If a shock is advised, ensure that everyone is clear of the victim and press the shock button as instructed by the AED.
8. Resume CPR immediately after the shock is delivered and follow any additional instructions given by the AED.

It is important to note that quickly wiping up spilled coffee would not be a priority or necessary action before using the AED.