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 C
Explanation
An incident report should be completed if a client has an episode of vomiting after receiving medication for hypertension. This is an unexpected event that may indicate an adverse reaction to the medication and requires documentation and follow-up.
Option A does not require an incident report as the client has the right to refuse treatment.
Option B also does not require an incident report as it is a routine request.
Option D may require immediate medical attention, but it does not necessarily require an incident report as it involves a family member rather than a client.
Correct Answer is ["A","B","C","E"]
Explanation
When reinforcing teaching with a client about advance directives, the nurse should include topics such as organ donation [a], disclosure of personal health care information [b], durable power of attorney for health care [c], and cardiopulmonary resuscitation [e]. Advance directives are legal documents that allow individuals to communicate their wishes about medical treatment and end-of-life care in the event that they are unable to make decisions for themselves. These topics are all important components of advance directives and should be discussed with the client.
Enteral feeding tubes [d] are not a topic that is typically included in discussions about advance directives. While enteral feeding may be a component of end-of-life care, it is not a specific topic that is addressed in advance directives.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today