A newly admitted patient who is morbidly obese asks the nurse for assistance to the bathroom for the first time. Which action should the nurse take initially?
Review the patient's activity orders.
Medicate the patient to alleviate discomfort while ambulating.
Ask for at least two other assistive personnel to come to the room.
Offer the patient a walker.
The Correct Answer is A
A. Before assisting a patient, especially one with mobility concerns, the nurse must verify provider orders to determine any restrictions or special considerations.
B. Administering pain medication before knowing activity restrictions could lead to falls or complications.
C. While assistance may be needed, the first priority is to check the patient's activity orders to determine the safest way to proceed.
D. Providing a walker might help, but the nurse must first confirm whether assistive devices are appropriate for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A patient who had surgery two days ago and is learning how to change the dressing. This is incorrect because this patient is stable and requires routine education, which is not an immediate priority.
B. A patient who was admitted 30 minutes ago for chest pain. This is correct because chest pain can indicate a life-threatening condition such as myocardial infarction. The nurse should assess this patient immediately, monitoring for signs of cardiac compromise and initiating emergency interventions if necessary.
C. A patient who received pain medication 10 minutes ago. This is incorrect because this patient is already receiving treatment, and there is no indication of urgent distress requiring immediate intervention.
D. A patient who is being transferred to a long-term care facility this afternoon. This is incorrect because transfer preparation is not an urgent priority compared to an unstable or potentially critical patient.
Correct Answer is A
Explanation
A. Before assisting a patient, especially one with mobility concerns, the nurse must verify provider orders to determine any restrictions or special considerations.
B. Administering pain medication before knowing activity restrictions could lead to falls or complications.
C. While assistance may be needed, the first priority is to check the patient's activity orders to determine the safest way to proceed.
D. Providing a walker might help, but the nurse must first confirm whether assistive devices are appropriate for the patient.
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