A nurse discovers that a client has a severe weather code activated. What is the appropriate sequence of steps that the nurse should take using the following actions? (Put the actions in the correct order.)

Call the provider.

Check vital signs.

Notify risk management.

Complete an incident report.

Instruct the client to remain in bed until further notice.

Answer and Explanation

The Correct Answer is B,E,A,C,D

Choice A reason: Calling the provider is important but not the first step in response to a severe weather code. The immediate safety and assessment of the client take precedence.

Choice B reason: Checking vital signs is the first step in assessing the client’s current health status and determining the need for immediate interventions during severe weather conditions.

Choice C reason: Notifying risk management is a subsequent step after initial client assessment and ensuring safety, as they will coordinate the broader institutional response to the severe weather event.

Choice D reason: Completing an incident report is one of the final steps after managing the immediate risks and communicating with the necessary parties, to document the event and the response taken.

Choice E reason: Instructing the client to remain in bed until further notice is a critical early step to ensure the client’s safety, especially if there is a risk of injury from the severe weather conditions.

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Correct Answer is B

Explanation

Choice A reason: Planning a farewell event is considerate but may not be appropriate in the context of termination due to conflict, as it could lead to further tension.

Choice B reason: This is the most professional and respectful approach, allowing for a private discussion and the opportunity to address any questions or concerns directly.

Choice C reason: Informing an employee of termination over the phone can feel impersonal and may not provide the necessary support during such a sensitive conversation.

Choice D reason: While it is important to offer support, calling an employee to the office without prior notice can be distressing and may not be the most considerate approach.

A. Assist with follow-up documentation and offer access to counseling. B. Offer the nurse immediate education and training in self-defense. C. Encourage the nurse to view the incident as a normal part of care. D. Provide access to a lawyer so a formal complaint can be filed.

Correct Answer is A

Explanation

Choice A reason: This is the appropriate response as it addresses the immediate need for support and ensures that the incident is properly recorded.

Choice B reason: While education and training in self-defense may be beneficial, it is not the immediate concern following such an incident.

Choice C reason: Encouraging the nurse to view physical assault as a normal part of care is inappropriate and can lead to a harmful work environment.

Choice D reason: Providing access to a lawyer may be necessary if the nurse decides to take legal action, but the initial response should focus on support and documentation.

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A nurse discovers that a client has a severe weather code activated. What is the appropriate sequence of steps that the nurse should take using the following actions? (Put the actions in the correct order.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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