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].
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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 A
Explanation
“Do you know how to change your dressing?” This statement can create a barrier to communication because it may make the patient feel judged or defensive if they do not know how to change their dressing.
It is better to phrase the question in a more open-ended and non-judgmental way, such as “Can you tell me about your experience with changing your dressing?”
Choice B is not an answer because it encourages the patient to share information about their hospitalization and promotes open communication.
Choice C is not an answer because it shows that the speaker is actively listening and engaging with the patient’s previous statements.
Choice D is not an answer because it encourages the patient to share information about their pain management and promotes open communication.
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