DSSSB 12 August 2024
Nursing Foundation
Easy

Which code is used to indicate that a patient requires resuscitation or needs immediate medical attention, most often as the result of a respiratory arrest or cardiac arrest?

Appeared in: DSSSB 12 August 2024

Explanation

  • Code Blue is the universally recognized hospital emergency code for a patient experiencing a life-threatening medical emergency, most commonly cardiac or respiratory arrest.
  • Activation of a Code Blue summons a specialized resuscitation team, often called the 'code blue' team, to the patient's location with a crash cart.
  • The goal is to initiate immediate life-saving interventions like cardiopulmonary resuscitation (CPR) and defibrillation to restore circulation and breathing.

Why Other Options Were Wrong

  • Option B: Code Pink indicates an infant or child abduction, which is a security emergency, not a medical resuscitation event.
  • Option C: Code Yellow typically signals an external disaster, a missing adult patient, or a bomb threat. It is a facility-level alert, not a direct patient medical emergency code.
  • Option D: Code Red signifies a fire emergency. The appropriate response is to follow fire safety protocols (RACE), not to initiate medical resuscitation.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Standard hospital emergency codes and their meanings in acute care settings.
  • Knowing these codes is critical for all hospital staff, not just clinical personnel, to ensure a rapid, coordinated, and appropriate response.
  • A nurse's primary role upon discovering an unresponsive patient is to assess for breathing and a pulse, call for help by activating the Code Blue, and begin Basic Life Support (BLS) until the code team arrives.
  • What if? If a patient becomes unresponsive but is still breathing and has a pulse, a 'Rapid Response Team' (RRT) call might be more appropriate than a Code Blue. The RRT is a proactive intervention to prevent a full cardiac arrest.
How to Approach the Question
  • First, identify the key event in the question: a patient requiring 'resuscitation' due to 'respiratory or cardiac arrest'.
  • This is a direct recall question about standard hospital safety protocols.
  • Associate the color 'blue' with cyanosis, the bluish skin discoloration from lack of oxygen, which is a hallmark of cardiac and respiratory arrest.
  • Systematically review the other codes to confirm they do not fit the medical emergency scenario: Red (fire), Pink (infant abduction), and Yellow (disaster/missing person).
  • Select the code that directly corresponds to a life-threatening medical event requiring immediate resuscitation.
Concept Tested & Keywords
  • Concept Tested: Standard hospital emergency codes and their meanings.
  • Stem keywords: code, resuscitation, immediate medical attention, respiratory arrest, cardiac arrest
  • Lead-in keywords: Which code

Question ID

QHObL8zOoNrTSNUba5lTqK

Reference Book

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 3 p. 45-47

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