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.
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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 ["A","B","C","E"]
Explanation
SBAR stands for Situation, Background, Assessment, and Recommendation. It is a systematic method of communication that provides a structured framework for conveying important information about a patient. To ensure that the report is thorough, the nurse needs to include information about the situation of the patient, the background leading up to the situation, an assessment of the patient, and recommendations for moving forward.
Option d is incorrect because barriers to providing treatment are not part of the SBAR framework.
Option f is incorrect because the reason why the report is needed is not part of the SBAR framework.
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