NORCET 6 mains-2024
Fundamental of Nursing
Easy
What is a key action during the head tilt, chin lift maneuver?
Appeared in: NORCET 6 mains-2024
Explanation
- The head tilt-chin lift is a primary maneuver to open the airway in an unresponsive person without a suspected neck injury.
- A key action is lifting the chin forward with the fingers of one hand.
- This action pulls the tongue away from the back of the throat (posterior pharynx), clearing the airway.
- It is performed simultaneously with tilting the head backward by applying pressure on the forehead with the other hand.
Why Other Options Were Wrong
- Option A: The correct action is to 'tilt' the head back by applying pressure on the forehead, not 'elevate' the head. Elevating the head from underneath could cause neck flexion and worsen airway obstruction.
- Option C: Chest compressions are part of the 'Circulation' component of CPR. They are performed to circulate blood, not to open the airway.
- Option D: Checking for a pulse is an assessment step to evaluate circulation and determine the need for chest compressions. It is not part of the airway-opening maneuver itself.
Related Visual
- Visual 1: Diagram - Illustration showing the two steps of the head tilt-chin lift maneuver: one hand on the forehead tilting the head back, and the other hand's fingers lifting the chin.
- Visual 2: Anatomical Cross-Section - Side-by-side comparison of an obstructed airway with the tongue blocking the pharynx and an open airway after a successful head tilt-chin lift.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Procedure for the head tilt-chin lift maneuver in basic life support as background academic context rather than a clinical decision trigger.
- This is a fundamental skill in Basic Life Support (BLS) and is often the first step in resuscitation after ensuring scene safety and checking for responsiveness.
- Proper airway management is critical because hypoxia (lack of oxygen) can lead to irreversible brain damage and cardiac arrest within minutes.
- What if? If the patient has a suspected cervical spine injury (e.g., from a fall, diving accident, or car crash), the head tilt-chin lift is contraindicated. The jaw-thrust maneuver should be used instead to open the airway without moving the neck.
How to Approach the Question
- First, identify the core concept of the question, which is the 'head tilt, chin lift maneuver'.
- Recall the purpose of this maneuver: to open the airway in an unresponsive patient.
- Mentally review the two distinct actions involved: (1) tilting the head back and (2) lifting the chin forward.
- Evaluate each option against these actions. 'Elevate the chin with one hand' directly corresponds to the 'chin lift' component.
- Eliminate options that belong to different parts of the resuscitation sequence, such as 'Compress the chest' (Circulation) and 'Check for pulse' (Assessment).
Concept Tested & Keywords
- Concept Tested: Procedure for the head tilt-chin lift maneuver in basic life support.
- Stem keywords: head tilt, chin lift maneuver, key action
- Lead-in keywords: What is
- Negative lead-in flag: false
Question ID
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