A client begins to fall while the nurse is assisting with ambulation. What is the priority nursing intervention?
Initiate a code.
Call the charge nurse.
Guide the client safely to the floor.
Call the client's doctor.
The Correct Answer is C
The priority nursing intervention when a client begins to fall while ambulating is to guide the client safely to the floor.
This can help prevent injury and ensure the safety of the client.
CHOICE A. Initiating a code is not necessary for this situation as it is not a medical emergency.
CHOICE B AND D : Calling the charge nurse or the client’s doctor may be appropriate after the client has been safely guided to the floor and their condition has been assessed
[B] [D].
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Related Questions
Correct Answer is B
Explanation
To prevent poisoning of a child in the home, it is important to keep cleaning liquids and other potential poisons in a locked cabinet12.
This includes storing medicines, chemicals, and cleaners up high in a locked cupboard and in their original containers1.
Choice A is incorrect because it focuses on prescription medications and not on preventing the poisoning of a child in the home.
Choice C is incorrect because it focuses on taking medications correctly and not on preventing the poisoning of a child in the home.
Choice D is incorrect because storing medications in a visible and accessible place could increase the risk of poisoning if a child were to access them.
Correct Answer is C
Explanation
Food belongs to the physiological level of Maslow’s Hierarchy of Needs1.
This is the lowest level of the hierarchy and includes basic needs that are vital to survival, such as food, water, and shelter1.
Choice A is incorrect because love and belonging are at a higher level of Maslow’s Hierarchy of Needs and do not include food.
Choice B is incorrect because safety and security are also a higher level of Maslow’s Hierarchy of Needs and do not include food.
Choice D is incorrect because esteem is a higher level of Maslow’s Hierarchy of Needs and does not include food.
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