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].
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Inducing vomiting is not always the appropriate first aid response for poisoning and can sometimes be harmful.
It is important to call the poison control center for guidance on what to do if you suspect poisoning1.
Choice A is not an answer because taking prescription medications only as prescribed can help prevent accidental poisoning1.
Choice B is not an answer because sharing prescription medications can be dangerous and lead to accidental poisoning2.
Choice D is not an answer because having the phone number for the poison control center easily accessible can help you quickly get guidance on what to do in case of suspected poisoning1.
Correct Answer is D
Explanation
Gender is not a factor that affects bowel elimination.
Many factors affect bowel elimination including age, diet, fluid intake, physical activity, psychological factors, personal habits, and medications1.
Choice A is not the correct answer because age is a factor that affects bowel elimination.
Choice B is not the correct answer because the diet is a factor that affects bowel elimination.
Choice C is not the correct answer because fluid intake is a factor that affects bowel elimination.
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