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
Explanation
Take naps when drowsy.
Taking naps during the day can disrupt nighttime sleep and worsen insomnia.
It is generally not recommended for individuals with insomnia to take naps, even if they feel drowsy during the day.
Choice B is not an answer because regular exercise can improve sleep quality and is a recommended intervention for individuals with insomnia.
Choice C is not an answer because limiting fluids before bedtime can reduce the need to urinate during the night and improve sleep quality.
Choice D is not an answer because limiting alcohol consumption before bedtime can improve sleep quality and reduce the risk of sleep disruptions.
Correct Answer is B
Explanation
Folk medicine is not a standard practice in the North American Healthcare system.
Standard practices in the North American Healthcare system include private health insurance, federal government health insurance programs such as Medicare and Medicaid, and a focus on improving health and preventing disease1.
Choice A is not correct because punctuality is considered a standard practice in many professional settings, including healthcare.
Choice C is not correct because handwashing is a standard practice in healthcare to prevent the spread of infection.
Choice D is not correct because annual exams are a standard practice in healthcare for preventative care and early detection of health issues.
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