CN Emergency Procedures & Response 2 — Questions and Answers
Question 1: A client in a nutrition counseling session suddenly clutches their throat and cannot speak, cough, or breathe. What should the nutritionist do first?
- Perform abdominal thrusts (Heimlich maneuver) (Correct answer)
- Offer the client a glass of water
- Encourage the client to keep coughing
- Lay the client flat and begin chest compressions
Correct answer: Perform abdominal thrusts (Heimlich maneuver)
A conscious person who cannot speak, cough, or breathe has a complete airway obstruction requiring immediate abdominal thrusts.
Question 2: A client with type 1 diabetes becomes shaky, sweaty, and confused during an appointment but is still conscious and able to swallow. What is the most appropriate immediate action?
- Give 15 grams of fast-acting carbohydrate, such as juice or glucose tablets (Correct answer)
- Administer the client's insulin
- Have the client lie down and rest until symptoms pass
- Give a high-protein snack like cheese or nuts
Correct answer: Give 15 grams of fast-acting carbohydrate, such as juice or glucose tablets
Symptomatic hypoglycemia in a conscious client is treated with about 15 grams of fast-acting carbohydrate, following the rule of 15.
Question 3: During a supervised meal at a wellness clinic, a client with a known peanut allergy develops hives, lip swelling, and wheezing. After activating EMS, what is the priority intervention?
- Administer the client's epinephrine auto-injector into the outer thigh (Correct answer)
- Give an oral antihistamine and monitor
- Have the client drink milk to dilute the allergen
- Induce vomiting to remove the allergen
Correct answer: Administer the client's epinephrine auto-injector into the outer thigh
Anaphylaxis is treated first with intramuscular epinephrine in the outer thigh; antihistamines are only adjuncts.
Question 4: A nutritionist finds an adult collapsed and unresponsive with no normal breathing. After calling 911, what is the correct next step per current CPR guidelines?
- Begin chest compressions at 100-120 per minute (Correct answer)
- Give two rescue breaths before anything else
- Check blood pressure to confirm cardiac arrest
- Place the person in the recovery position
Correct answer: Begin chest compressions at 100-120 per minute
Current guidelines emphasize starting high-quality chest compressions (C-A-B sequence) immediately for an unresponsive adult who is not breathing normally.
Question 5: Which sign in a client would most strongly indicate a possible stroke requiring immediate emergency services?
- Sudden facial drooping, arm weakness, and slurred speech (Correct answer)
- Gradual fatigue developing over several days
- Mild heartburn after a large meal
- Muscle soreness following exercise
Correct answer: Sudden facial drooping, arm weakness, and slurred speech
The FAST criteria (Face drooping, Arm weakness, Speech difficulty, Time to call 911) identify stroke warning signs.
Question 6: A client faints briefly in the waiting room but regains consciousness within a minute. What should the practitioner do?
- Keep the client lying down with legs elevated and monitor until fully recovered (Correct answer)
- Immediately give the client coffee to raise blood pressure
- Have the client stand up quickly to test their balance
- Send the client home right away without observation
Correct answer: Keep the client lying down with legs elevated and monitor until fully recovered
After syncope, the person should remain supine with legs elevated and be monitored, since standing too soon can cause a repeat episode.
Question 7: In a clinic emergency, what does activating the 'chain of survival' begin with when an adult collapses?
- Recognizing the emergency and calling 911 immediately (Correct answer)
- Documenting the event in the client's chart
- Searching for the client's emergency contact
- Waiting five minutes to see if the client improves
Correct answer: Recognizing the emergency and calling 911 immediately
The adult chain of survival starts with early recognition of the emergency and immediate activation of the emergency response system.
CN Emergency Procedures & Response 2
A client in a nutrition counseling session suddenly clutches their throat and cannot speak, cough, or breathe.
What should the nutritionist do first?