PGIMER Chandigarh NO - 2015
Medical & Surgical Nursing
Easy
For adults the ratio of chest compression-to-ventilation in case of single rescuer Cardiopulmonary resuscitation (CPR) is?
Appeared in: PGIMER Chandigarh NO - 2015
Explanation
- The American Heart Association (AHA) recommends a universal compression-to-ventilation ratio of 30:2 for single rescuers providing CPR to victims of all ages (adults, children, and infants).
- For adults, this 30:2 ratio is maintained even when a second rescuer is present to simplify training and recall during an emergency.
- The primary goal is to provide high-quality chest compressions with minimal interruptions, and the 30:2 ratio balances perfusion with oxygenation.
Why Other Options Were Wrong
- Option A: This ratio is used for pediatric CPR, not adult CPR.
- Option B: This is not a standard compression-to-ventilation ratio recommended by the AHA for any CPR scenario.
- Option D: This is not a standard ratio. AHA guidelines specify two rescue breaths after 30 compressions to ensure adequate oxygenation.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Cardiopulmonary Resuscitation (CPR) Guidelines for Adults as background academic context rather than a clinical decision trigger.
- A nurse's primary role during a cardiac arrest is to initiate high-quality Basic Life Support (BLS) immediately, including the correct CPR ratio, until the code team arrives.
- Consistent practice and certification in BLS are crucial for all healthcare providers to ensure patient safety and improve survival rates from in-hospital cardiac arrest.
- Minimizing interruptions during the 30 compressions is critical, as each pause drops coronary perfusion pressure, which is essential for restarting the heart.
How to Approach the Question
- Identify the key elements in the question: 'adults', 'single rescuer', and 'compression-to-ventilation ratio'.
- Recall the standard Basic Life Support (BLS) guidelines from the American Heart Association (AHA).
- Remember that for adults, the ratio is a consistent 30:2, regardless of whether there is one or two rescuers. This simplifies the process in a high-stress situation.
- Differentiate this from the pediatric guidelines, where the ratio changes to 15:2 for two rescuers.
- Eliminate the options that are incorrect for any standard scenario (15:1, 30:1) and the one that applies to a different population (15:2 for pediatric two-rescuer).
- Select the option that matches the current AHA guideline for adult CPR.
Concept Tested & Keywords
- Concept Tested: Cardiopulmonary Resuscitation (CPR) Guidelines for Adults
- Stem keywords: adults, chest compression-to-ventilation ratio, single rescuer, Cardiopulmonary resuscitation, CPR
- Lead-in keywords: ratio
- Negative lead-in flag: false
Question ID
QuSz4AzPvLu8hR8nManhnV
Reference Book
E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 763-765
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 3 p. 45-47
Practise the full PGIMER Chandigarh NO - 2015
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Other Acute Problems Questions
- Disposal of expired and cytotoxic drugs is by:
- A patient is admitted with acute renal kidney injury, and nurse is advised to monitor strict urine output. She notices urine output is less than 100…
- Identify the following image:
- Which of the following are the causes of delirium?
- Emergency treatment for cocaine toxicity seeks to stabilize:
- A 45-year-old patient presents with a severe head injury. Which of the following is a contraindication for the insertion of a nasopharyngeal airway i…
- A 30-year-old patient presents to the emergency department with a body temperature of 104°F (40°C). The patient’s additional vital signs are as follo…
- What is the most appropriate method of oxygen delivery for a patient presenting to the emergency department with respiratory trauma (RTA) requiring s…
- A Patient with RTA comes into the emergency department that needs resuscitation. Which cannula is least preferred?
- A patient with tension pneumothorax comes to the emergency department. In that condition needle insertion can be done at?
More PGIMER Chandigarh NO - 2015 Questions
- The primary purpose of the schilling test is to measure?
- Priority nursing diagnosis for a client with ARDS?
- Which vaccine is used to prevent cervical cancer?
- Appropriate treatment for a patient with acute appendicitis?
- Most common complication of peritoneal dialysis?
- Which post operative activity does the nurse encourage the client to avoid, to prevent increased ICP?
- A Nurse is caring for a patient who has just been operated for Tonsillectomy surgery. Which of the following patient complaints indicates heavy bleed…
- Most effective method of treating radiodermatitis?
- "Choanal Atresia" is a congenital abnormality which is an abnormal opening between?
- Most common cause of liver cirrhosis is?