58. The nurse aide begins cardiopulmonary resuscitation (CPR) after witnessing a client collapse in the hallway. What is the BEST way CPR?

Answer: B

Explanation:

Head tilt-chin lift is the best way to perform CPR.

The head tilt-chin lift maneuver is essential for opening the airway in an unresponsive victim, ensuring that breaths can be effectively administered during cardiopulmonary resuscitation.

A) Position hands for an abdominal thrust

This option is incorrect as abdominal thrusts are used to relieve choking, not during CPR. In the context of a collapsed client, performing abdominal thrusts would not be appropriate or effective for restoring breathing or circulation.

B) Head tilt-chin lift

This option is correct because the head tilt-chin lift technique is crucial for clearing the airway during CPR. It allows for proper ventilation by ensuring that the airway is open, which is necessary before delivering rescue breaths.

C) Place hand on sternum and push

While placing hands on the sternum is part of chest compressions, this option does not address the immediate need to open the airway. Without first ensuring that the airway is clear, chest compressions alone may not be effective in a situation where rescue breaths are also needed.

D) Give 1 breath

This option is incorrect because giving a breath without first ensuring an open airway may lead to ineffective ventilation. The head tilt-chin lift is necessary to ensure that air enters the lungs properly before attempting to give rescue breaths.

Conclusion

The head tilt-chin lift is the definitive correct answer as it prioritizes airway management, which is critical for effective CPR. Other options either misapply techniques relevant to different emergency situations or fail to address the need for a clear airway before delivering rescue breaths. Thus, understanding the correct sequence of actions in CPR is vital for improving survival outcomes.