Moderate

A patient has regained a pulse after successful resuscitation and is breathing spontaneously. Which nursing action is most appropriate during immediate post-arrest care?

Correct answer: A. Maintain airway support and continuously monitor oxygenation

  • A. Maintain airway support and continuously monitor oxygenation
  • B. Allow the patient to sleep without further observations
  • C. Remove all monitoring leads to reduce stimulation
  • D. Give oral water before checking the neurological state

Explanation

Return of spontaneous circulation does not end the emergency because recurrent dysrhythmia, hypoxia and neurological injury may occur. The nurse maintains airway support and closely monitors oxygenation, circulation and neurological status.

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About Critical Care and Emergency Nursing

Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.

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