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 ["A","B","C","D"]
Explanation
All of the choices provided are examples of alternative therapy.
Alternative therapy refers to the use of non-conventional methods to complement or enhance traditional medical treatments.
Choice A is an example of alternative therapy because it suggests including appointments with a massage therapist while continuing medical treatments for chronic leg pain.
Choice B is an example of alternative therapy because it suggests initiating “cupping” while also taking antibiotics for pneumonia.
Choice C is an example of alternative therapy because it suggests utilizing lavender in addition to the use of lorazepam for anxiety.
Choice D is an example of alternative therapy because it suggests using garlic to manage a clotting disorder.
Correct Answer is D
Explanation
According to Maslow’s Hierarchy of Needs, all people have basic human needs that must be met before they can attend to higher needs.
These basic human needs are physiological (food and clothing), safety (job security), love and belonging needs (friendship), esteem, and self-actualization1.
Choice A is incorrect because people do not have the same needs at the same time.
Choice B is incorrect because Maslow’s Hierarchy of Needs does not mention the risk of becoming ill.
Choice C is incorrect because not all people have a desire to be the best.
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