A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Complete an incident report.

Notify the client's provider.

Document the fall in the client's medical record.

Measure the client's vital signs.

Answer and Explanation

The Correct Answer is D

The correct answer is D. The nurse should measure the client's vital signs first to assess for any injuries or complications from the fall, such as bleeding, shock, or head trauma. The nurse should then notify the provider and document the fall in the client's medical record. Completing an incident report is also important, but it is not the first action that the nurse should take.

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Correct Answer is B

Explanation

The correct answer is B.

Hinduism is a major world religion that encompasses diverse beliefs and practices. One of the common beliefs is that cremation is a way of releasing the soul from the body and preparing it for reincarnation, which is the cycle of birth, death, and rebirth. Cremation is usually performed within 24 hours of death and often involves rituals such as bathing, dressing, and anointing the body, chanting prayers, and offering flowers and food.

A. The client fell because the assistive personnel did not place nonskid slippers on the client." B. The client does not appear to have any injuries resulting from the fall." C. "Client stated, 'I lost my balance and fell when I got out of bed to go to the bathroom'." D. "An incident report has been completed and sent to risk management."

Correct Answer is C

Explanation

The correct answer is C. The nurse should document factual and objective information about the incident, such as what the client said and what actions were taken by the nurse and other staff members. The nurse should not document opinions or assumptions about the cause of the fall, such as blaming the assistive personnel or stating that the client has no injuries without performing a thorough assessment. The nurse should also not document that an incident report was completed and sent to risk management, as this is confidential information that should not be part of the medical record.

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A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in providing postmortem care for a client who was a devout follower of Hinduism. Which of the following requests should the nurse anticipate from the client's family?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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