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 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.
Correct Answer is C
Explanation
This is an example of restating.
Restating is a therapeutic communication technique where the nurse repeats what the client has said in their own words to show that they are listening and to clarify the client’s message.
Choice A is incorrect because establishing trust involves building a relationship with the client and is not demonstrated in this example.
Choice B is incorrect because using silence involves allowing for pauses in the conversation to give the client time to think and reflect, which is not demonstrated in this example.
Choice D is incorrect because reassuring involves providing comfort and support to the client, which is not demonstrated in this example.
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