A nurse enters a client's room and finds the client on the floor. After the nurse has ensured the client's safety, which of the following actions should the nurse take?

Document the completion of an occurrence report in the client's medical record.

Notify the client's provider about the occurrence.

Request another nurse to complete the occurrence report.

Contact risk management about the occurrence.

Answer and Explanation

The Correct Answer is B

A.   An occurrence report, also known as an incident report, documents the details of any unexpected event that occurs during the client's care. This includes falls. It is important to document the incident accurately and promptly in the client's medical record to ensure that all relevant information is recorded. However, this should not take priority over timely escalation of the issue.
B.   It is essential to notify the client's healthcare provider (such as the physician or nurse practitioner) about the fall incident. The provider needs to be informed about the client's condition after the fall, any injuries sustained, and any immediate actions taken.
C.   The nurse who witnessed or discovered the fall incident is responsible for completing the occurrence report. It should be filled out by the nurse who directly assessed the client's condition after the fall, documented any injuries, and initiated appropriate interventions. Asking another nurse to complete the report may not accurately reflect the details and actions taken by the nurse who was directly involved.
D.   Risk management may need to be informed about the fall incident, especially if it resulted in injury to the client. Risk management is responsible for assessing the circumstances surrounding the fall, identifying potential risks or contributing factors, and implementing strategies to prevent future incidents. However, contacting risk management is typically done after initial actions such as ensuring client safety, notifying the provider, and documenting the incident.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.

A. The new mutation spreads easier from one individual to another. B. The new mutation requires a larger amount of the virus to cause disease. C. The new mutation can survive in the environment and retain infectivity. D. The new mutation causes more severe disease.

Correct Answer is A

Explanation

A. Communicability refers to the ability of a pathogen, such as a virus, to spread from one person to another. If a virus undergoes a mutation that increases its communicability, it means that the virus can more readily transmit from an infected person to others. This could be due to changes in viral proteins that enhance attachment to host cells, increase viral shedding, or improve survival in the environment.
B. This statement describes the concept of the infectious dose, not communicability. Infectious dose refers to the amount of virus (or pathogen) required to establish an infection in a susceptible host. A mutation that lowers the infectious dose could potentially increase the likelihood of infection, but it does not directly relate to communicability.

C. Environmental stability refers to the ability of a virus to survive outside of a host and remain capable of causing infection. While environmental stability can contribute to the overall transmission of a virus, it does not specifically define communicability, which focuses on person-to-person spread.
D. Disease severity refers to the impact of infection on the health of an individual, ranging from mild symptoms to severe illness and potential mortality. A mutation that increases disease severity does not necessarily affect communicability unless severe disease leads to behaviors that enhance transmission (e.g., increased shedding of virus).

View Question and Answer

A nurse is caring for a 20-year-old client who has a fever and reports severe headache.

Exhibits

A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

View Question and Answer

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A nurse enters a client's room and finds the client on the floor. After the nurse has ensured the client's safety, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing Exhibits due to dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?

Correct Answer is A

Explanation

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A nurse is caring for a 20-year-old client who has a fever and reports severe headache. Exhibits A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

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