A nurse enters a client's room to answer the call light and sees the client is in the bathroom on the floor. Which of the following actions should the nurse take first?
Obtain the client's vital signs.
Inform the client's family member.
Notify the client's provider.
Assist the client back into bed.
The Correct Answer is D
A. Obtain the client's vital signs:
While obtaining vital signs is important, the immediate priority is to ensure the client's safety and assist them back into bed.
B. Inform the client's family member:
Informing the client's family member may be appropriate, but the immediate concern is the client's well-being and safety.
C. Notify the client's provider:
Notifying the provider may be necessary, but the initial action should be to address the immediate situation by assisting the client back into bed.
D. Assist the client back into bed:
This is the correct action. The nurse should first ensure the client's safety and assist them back into bed to prevent further injury or discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Improved speech patterns:
While selegiline may contribute to overall improvement in motor function and quality of life for individuals with Parkinson's disease, it is not specifically known for targeting speech patterns.
B. Decreased tremors:
This is the correct therapeutic outcome. Selegiline is a monoamine oxidase type B (MAO-B) inhibitor that helps increase dopamine levels in the brain. Reduction of tremors is a common therapeutic effect in Parkinson's disease.
C. Increased bladder function:
Selegiline primarily affects motor symptoms in Parkinson's disease and is not directly associated with changes in bladder function.
D. Diminished drooling:
While drooling can be a symptom of Parkinson's disease, selegiline's primary focus is on motor symptoms, and its impact on drooling may be variable. Other interventions may be considered for managing drooling in Parkinson's disease.
Correct Answer is D
Explanation
A. Move any clients in the immediate vicinity.
This is a reasonable next step, ensuring the safety of clients in close proximity to the potentially hazardous situation.
B. Close the fire doors on the unit.
Closing fire doors is important for containing the spread of smoke and fire, but it may be a secondary action after alerting others to the emergency using the fire alarm.
C. Use a fire extinguisher on the outlet.
While fire extinguishers can be useful in certain situations, using one on an electrical fire can be dangerous. It's generally recommended to leave firefighting to trained personnel and focus on evacuation and alerting others.
D. Activate the fire alarm.
Activating the fire alarm is the priority because it alerts everyone in the facility to the potential danger, ensuring a prompt and coordinated response. It initiates the facility's fire response plan and helps in the evacuation of patients if necessary.
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