A nurse enters a client's room and finds the client on the floor. Which of the following actions should the nurse take first?
Collect data on the client.
Place the client back into bed.
Notify the client's provider.
Fill out an incident report.
The Correct Answer is A
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The charge nurse is demonstrating the right of supervision by checking with other nursing personnel on the unit throughout the day to determine if they are completing tasks. This means that the charge nurse is providing appropriate supervision and monitoring of the delegated tasks to ensure that they are being completed correctly and that the client's needs are being met.
Option B is incorrect because it refers to ensuring that the circumstances are appropriate for delegation.
Option C is incorrect because it refers to delegating tasks to the right person who has the appropriate skills and knowledge to complete them.
Option D is incorrect because it refers to clear communication between the delegator and delegatee about the task being delegated.
Correct Answer is D
Explanation
If a nurse overhears two assistive personnel (AP) discussing a client who is currently hospitalized in the hospital cafeteria, the appropriate action for the nurse to take is to quietly tell the APs that the conversation is inappropriate. This will allow the nurse to address the issue in a respectful and professional manner and remind the APs of their responsibility to maintain client confidentiality.
Option A is incorrect because completing an incident report may be necessary, but it should not be the first action taken.
Option B is incorrect because reporting the incident to the provider is not an appropriate action in this situation.
Option C is incorrect because documenting the occurrence in the client's medical record is not an appropriate action in this situation.
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