A client begins to fall while the nurse is assisting with ambulation. What is the priority nursing intervention?
Initiate a code.
Call the charge nurse.
Guide the client safely to the floor.
Call the client's doctor.
The Correct Answer is C
The priority nursing intervention when a client begins to fall while ambulating is to guide the client safely to the floor.
This can help prevent injury and ensure the safety of the client.
CHOICE A. Initiating a code is not necessary for this situation as it is not a medical emergency.
CHOICE B AND D : Calling the charge nurse or the client’s doctor may be appropriate after the client has been safely guided to the floor and their condition has been assessed
[B] [D].
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Related Questions
Correct Answer is D
Explanation
The nurse’s first action when a fire is discovered in a client’s room is to evacuate any clients or visitors in immediate danger12.
This is because the safety of the clients and visitors is the top priority.
Choice A is not the correct answer because activating the fire alarm is not the first action that should be taken.
Choice B is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.
Choice C is not the correct answer because notifying the supervisor is not the first action that should be taken.
Correct Answer is C
Explanation
Locking the wheels of the wheelchair is a priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair.
This prevents the wheelchair from moving or rolling away during the transfer, which could result in injury to the client.
Choice A is not an appropriate response because encouraging the client to push up from the wheelchair may not be safe or feasible for all clients.
Choice B is not an appropriate response because ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.
Choice D is not an appropriate response because placing the bed in the trendelenburg position could make it more difficult for the client to transfer
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