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 D
Explanation
The nurse’s first action when a fire is discovered in a client’s room is to evacuate any clients or visitors in immediate danger12.
This is because the safety of the clients and visitors is the top priority.
Choice A is not the correct answer because activating the fire alarm is not the first action that should be taken.
Choice B is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.
Choice C is not the correct answer because notifying the supervisor is not the first action that should be taken.
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