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.

Answer and Explanation

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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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.

A. Report the observation to the nurse caring for that client. B. Notify hospital security and discuss the situation. C. Ask other staﬀ if they recognize the individual. D. Approach the man and ask why he is making copies.

Correct Answer is D

Explanation

The nurse should approach the man and ask why he is making copies of the client's medical records. This action allows the nurse to directly address the situation and gather more information before taking further steps.
Option A, may not be the best initial action because it does not directly address the situation.
Option B may be premature without first gathering more information.
Option C, may also not be the best initial action because it does not directly address the situation.

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A nurse enters a client's room and finds the client on the ﬂoor. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters the hospital cafeteria for lunch and overhears two assistive personnel (AP) discussing a client who is currently hospitalized. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse asks an assistive personnel (AP) to take a specimen to the laboratory, and the AP refuses. Which of the following actions should the nurse take?

Mr. Smith did not receive his medication on time, as ordered, because his nurse forgot about it and went on her lunch break. Consequently, Mr. Smith's condition deteriorated, and he was sent to the emergency room. What legal term describes this form of professional negligence?

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?

A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? (Select all that apply.)

Essential elements of eﬀective delegation by an LPN include: (SELECT ALL THAT APPLY)

A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?

A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the client's concern?