A nurse responds to a call light and finds a patient lying on the bathroom floor. What should the nurse do first?

Check the patient for injuries.

Move hazardous objects away from the patient.

Notify the provider.

Ask the patient to describe how they felt prior to the fall.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The first action the nurse should take when finding a patient on the floor is to check the patient for injuries. This is important to determine the extent of any potential harm and to guide subsequent actions.

Choice B rationale

Moving hazardous objects away from the patient is important, but it is not the first action the nurse should take. The nurse should first assess the patient for injuries.

Choice C rationale

Notifying the provider is an important step when a patient falls, but it is not the first action the nurse should take. The nurse should first assess the patient for injuries.

Choice D rationale

Asking the patient to describe how they felt prior to the fall is part of the assessment after a fall, but it is not the first action the nurse should take. The nurse should first assess the patient for injuries.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Regular inspection of the cord for frays or tears is crucial to ensure the safe operation of the home oxygen concentrator. A damaged cord can pose a risk of electric shock or fire.

Choice B rationale

Keeping the unit at least 1.2 m (4 ft) away from a gas stove is important because oxygen supports combustion. An oxygen-rich environment can cause materials to ignite more easily and make fires burn at a faster rate.

Choice C rationale

Considering the purchase of a generator for power backup is a good idea. In case of a power outage, a backup power source would ensure the continuous operation of the oxygen concentrator, which is critical for patients who are dependent on supplemental oxygen.

Choice D rationale

Monitoring for signs of hypoxia is essential. Despite receiving oxygen therapy, a patient may still experience hypoxia if the oxygen flow rate is insufficient, or if there are issues with the equipment. Signs of hypoxia include shortness of breath, rapid breathing, restlessness, confusion, and cyanosis (bluish color of the skin, lips, or nails)12.

Choice E rationale

Choosing synthetic clothing and bedding is not recommended. Synthetic materials can build up static electricity, which can spark and cause a fire in an oxygen-enriched environment.

A. Gently press on the tragus of the patient’s ear. B. Pack a small piece of cotton deep into the patient’s ear canal. C. Move the patient’s auricle down and back towards their head. D. Tilt the patient’s head backward for 5 minutes.

Correct Answer is A

Explanation

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

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A nurse responds to a call light and finds a patient lying on the bathroom floor. What should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a patient who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the patient and their family? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Correct Answer is A

Explanation

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