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 B
Explanation
Choice A Rationale: Anticipating intubation is not warranted solely based on an O2 saturation of 92% and without further assessment.
Choice B Rationale: Asking the client to cough, then inhale and exhale deeply is an appropriate initial action to improve oxygenation and assess the client's respiratory status.
Choice C Rationale: Inserting an intravenous catheter is unrelated to the client's O2 saturation and would not address the immediate concern.
Choice D Rationale: Administering antihypertensives is not indicated based on the O2 saturation level, and it may not be safe without further assessment.
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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