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A nurse is performing cardiac compression on an adult client. How far must the nurse depress the lower sternum to maintain circulation until a defibrillator is available?

  1. 2 to 2\(\frac{1}{2}\) inches
  2. \(\frac{1}{2}\) to \(\frac{3}{4}\) inch
  3. 1 to 1\(\frac{1}{2}\) inches
  4. \(\frac{3}{4}\) to 1 inch

Answer (Detailed Solution Below)

Option 1 : 2 to 2\(\frac{1}{2}\) inches

Free

10 Questions 10 Marks 8 Mins

Concept:

  • Cardiopulmonary resuscitation (CPR) is an emergency procedure of basic life support for oxygenation to the heart, lungs, and brain to restore normal cardiopulmonary functions or until adequate medical treatment can be administered.
  • The chronology of CPR is as follows: C-A-B i.e. Compressions- Airways-Breathing.

When performing cardiac compressions on an adult client how far would the nurse depress the lower sternum?

Key PointsInstructions for Chest compression:

  • The patient must be placed on a hard surface such as a wooden board.
  • The palm of one hand is placed in the concavity of the lower half of the sternum i.e. 2 fingers above the xiphoid process. The nurse should avoid xiphisternal junction as may lead to fracture and injury.
  • The other hand is placed over the hand on the sternum.
  • The shoulder should be positioned directly over the hands with elbows locked straight and arms extended. Use the upper body weight to compress the chest.
  • Sternum must be depressed at least:
    • ​5 cm in adults i.e.  2 to 2\(\frac{1}{2}\) inches (Hence option 1 is correct).
    • 2-4 cm in children i.e. up to 2 inches
    • 1-2 cm in infants i.e. up to 1.5 inches.

When performing cardiac compressions on an adult client how far would the nurse depress the lower sternum?
 Additional InformationGoldern rules:

  • The procedure should be performed at the rate of 100-120/min
  • The ratio of the chest compression to ventilation should be:
    • Single rescuer- 30:2
    • While in the presence of two rescuers the chest compression must not be interrupted for ventilation.

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When the nurse perform CPR on an adult which is the correct ratio of compressions to breaths?

For healthcare providers and those trained: conventional CPR using chest compressions and mouth-to-mouth breathing at a ratio of 30:2 compressions-to-breaths.

When providing chest compressions the chest must be depressed?

Place the heel of your hand on the centre of the person's chest, then place the palm of your other hand on top and press down by 5 to 6cm (2 to 2.5 inches) at a steady rate of 100 to 120 compressions a minute. After every 30 chest compressions, give 2 rescue breaths.

When performing external chest compressions on an adult during CPR the responder Cheska should depress the sternum?

When performing chest compressions, the nurse should depress the sternum by how many inch(es)? 3. Rationale-When performing CPR on an adult client, the sternum is depressed 2 inches.

Where should the second hand be placed when using an alternative compression technique in adults?

Place two fingers at the tip of the breastbone. Place the heel of the other hand right above your fingers (on the side closest to the person's face). Use both hands to give chest compressions. Stack your other hand on top of the one that you just put in position.