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 C
Explanation
The primary purpose of an incident report is to identify opportunities for improvement.
Incident reports are used to document and analyze events that have occurred in order to identify areas for improvement and prevent similar incidents from happening in the future.
Choice A is not an answer because incident reports are not typically used as a tool for disciplinary action.
Choice B is not an answer because while incident reports can help identify and address errors, their primary purpose is not to eliminate unforeseen errors.
Choice D is not an answer because the primary purpose of incident reports is not to hold persons accountable for their errors, but rather to identify opportunities for improvement.
Correct Answer is D
Explanation
Unattended pools pose the greatest danger to toddlers because they can easily drown if they fall in and are not supervised.
Choice A is incorrect because mistletoe tightly secured to the ceiling is unlikely to pose a danger to toddlers.
Choice B is incorrect because medication locked in a cabinet is unlikely to pose a danger to toddlers as long as it remains locked and out of reach.
Choice C is incorrect because large toys with large parts are unlikely to pose a danger to toddlers as long as they are age-appropriate and do not have small parts that can be swallowed.
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