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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Food belongs to the physiological level of Maslow’s Hierarchy of Needs1.
This is the lowest level of the hierarchy and includes basic needs that are vital to survival, such as food, water, and shelter1.
Choice A is incorrect because love and belonging are at a higher level of Maslow’s Hierarchy of Needs and do not include food.
Choice B is incorrect because safety and security are also a higher level of Maslow’s Hierarchy of Needs and do not include food.
Choice D is incorrect because esteem is a higher level of Maslow’s Hierarchy of Needs and does not include food.
Correct Answer is C
Explanation
The nurse’s priority action when an eight-year-old child is eating a hotdog and begins coughing is to promote coughing.
Coughing is the body’s natural way of trying to clear an obstruction from the airway.
Choice A is not the correct answer because beginning the Heimlich maneuver quickly is not the first action that should be taken.
Choice B is not the correct answer because telling the child to put his hands by his neck to signify that he is choking is not the first action that should be taken.
Choice D is not the correct answer because leaving the child alone to find a phone is not the first action that should be taken.
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