Question
Question 17 of 20 A nurse is performing basic cardiopulmonary resuscitation (CPR) on a client. Under which condition(s) will the nurse discontinue CPR? Select all that apply. There is no automated external defibrillator (AED) available. There is a pulse and the client resumes breathing. There is no written evidence that resuscitation is the client's wishes. The client's condition deteriorates despite resuscitation efforts. The nurse becomes exhausted. SUBMIT ANSWER
Ask by Gordon Peterson. in the United States
Jan 19,2025
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Answer
The nurse should stop CPR if:
- The client has a pulse and is breathing.
- The client's condition doesn't improve despite efforts.
- The nurse becomes too tired to continue.
Solution
When performing basic cardiopulmonary resuscitation (CPR), it's crucial to understand the appropriate conditions under which CPR should be discontinued. According to standard CPR guidelines, CPR should be stopped if:
1. **There is a pulse and the client resumes breathing**: The primary goal of CPR is to restore adequate circulation and breathing. If these signs return, CPR is no longer necessary.
2. **The client's condition deteriorates despite resuscitation efforts**: If it's evident that resuscitation efforts are ineffective and the client's condition is worsening without any signs of improvement, continuing CPR may be futile.
3. **The nurse becomes exhausted**: Physical exhaustion can impair the effectiveness of CPR. If the rescuer is too tired to continue and there's no one else available to take over, CPR should be stopped to prevent ineffective or harmful attempts.
The other options provided are **not** valid reasons to discontinue CPR:
- **Lack of an AED**: While an AED is a valuable tool in resuscitation, manual CPR should continue even if an AED is not immediately available, especially in settings where advanced equipment isn't accessible.
- **No written evidence of the client's wishes**: In the absence of a do-not-resuscitate (DNR) order or similar directive, CPR should be performed as per standard protocol.
### **Correct Answers:**
- There is a pulse and the client resumes breathing.
- The client's condition deteriorates despite resuscitation efforts.
- The nurse becomes exhausted.
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When the client shows signs of life, such as having a pulse and resuming normal breathing, it's time to stop CPR. This is a clear indication that the body is beginning to function properly again, and the nurse's efforts can be transitioned to care and monitoring. On the other hand, if the nurse becomes physically exhausted, it’s crucial to prioritize their own safety and well-being. An exhausted rescuer may not provide effective CPR, so seeking assistance, stepping away, or rotating with another rescuer is essential to maintain high-quality care.