Final answer:
When a responsive adult is choking, the nurse should perform cycles of 5 back blows and 5 abdominal thrusts to dislodge the item. If these are unsuccessful, one should use the Heimlich maneuver and call for emergency medical care if needed. CPR should be used if the person becomes unresponsive.
Step-by-step explanation:
The appropriate intervention that a nurse should implement when assessing a responsive adult who is determined to be choking is to perform cycles of 5 back blows and 5 abdominal thrusts. This approach is consistent with the guidelines set forth by various health organizations and can be effective in dislodging an object from an adult's airway. If a person is choking and cannot speak, cough, or breathe, it's essential to act quickly; start with back blows and if unsuccessful, use the Heimlich maneuver. If the Heimlich maneuver does not resolve the situation, it is critical to call for emergency medical care immediately. Furthermore, CPR should be reserved for situations where the individual becomes unresponsive or their heart stops, and it should be performed with a focus on high-quality chest compressions until professional help arrives or the patient regains spontaneous contractions.