Difficulty: Medium

Average Score: 66%

If the nurse aide thinks a client is choking, the FIRST thing the nurse aide should do is:

Rationale

Ask if the client can speak.

Before taking any further action, it is crucial for the nurse aide to assess the situation by asking the client if they can speak. This initial inquiry helps determine the severity of the choking and guides appropriate intervention.

A (get the nurse in charge) YOUR ANSWER

While notifying the nurse in charge is important, it should not be the first action taken. In a choking emergency, immediate assessment of the client's condition is vital, and waiting for the nurse could delay necessary assistance.

B (try to remove the food from the client's mouth) YOUR ANSWER

Attempting to remove food from the client’s mouth can be dangerous and may push the obstruction further down the airway. It is essential first to assess the client’s ability to breathe and speak before taking any physical action.

D (perform the Heimlich maneuver (abdominal thrusts)) YOUR ANSWER

Performing the Heimlich maneuver is a critical response when a client is unable to speak or breathe. However, this should only be done after confirming that the client cannot communicate and is in distress. Immediate assessment must take precedence to ensure the correct response.

Conclusion

In choking situations, the nurse aide's first step should be to assess the client’s ability to speak. This initial action is essential for determining the appropriate course of intervention, as it informs whether immediate action like the Heimlich maneuver is warranted. Prompt assessment can be life-saving, ensuring the correct response is implemented based on the client's condition.

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