A client complains of back pain after slipping and falling on a wet floor at the hospital. What is the nurses best first action to take?
notify the nurse administrator
clean up the spill
Ask the client to remain still
document the incident
The Correct Answer is C
Choice A Rationale: Notifying the nurse administrator should not be the first action when a client is experiencing pain or injury.
Choice B Rationale: Cleaning up the spill is important to prevent further accidents but does not address the client's immediate pain and discomfort.
Choice C Rationale: Asking the client to remain still is the best first action to ensure the client's safety and assess the extent of the injury or pain.
Choice D Rationale: Documenting the incident is important but should follow
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Rationale: Stage 3 of Alzheimer's disease is characterized by increased memory deficits, but the behavior of filling in information with made-up stories is more commonly associated with the earlier stages.
Choice B Rationale: Stage 2 of Alzheimer's disease involves progressive cognitive decline but may not necessarily manifest with the specific behavior described.
Choice C Rationale: Stage 1 of Alzheimer's disease typically has mild cognitive changes, but the behavior mentioned is more indicative of the later stages.
Choice D Rationale: The early stage of Alzheimer's disease may involve the emergence of confabulation, where clients fill in gaps in memory with fabricated stories or information.
Correct Answer is A
Explanation
Choice A Rationale: Lentils have one of the highest fiber contents per cup compared to the other options listed, making them a good choice to help alleviate constipation.
Choice B Rationale: Asparagus is a source of fiber but typically has lower fiber content per cup compared to lentils.
Choice CRationale: Oatmeal is known for its fiber content, but its fiber content per cup is typically lower than that of lentils.
Choice DRationale: Cabbage is a source of fiber, but its fiber content per cup is usually lower than that of lentils.
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