A nurse enters a client's room and finds the client on the ﬂoor. Which of the following actions should the nurse take first?

Collect data on the client.

Place the client back into bed.

Notify the client's provider.

Fill out an incident report.

Answer and Explanation

The Correct Answer is A

The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.

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Correct Answer is D

Explanation

The nurse should prioritize the client who requests pain medication as their need is likely the most urgent. Pain management is an important aspect of nursing care and addressing the client's pain should be a priority.

The other clients have needs that are important but not as urgent as the client in pain. The client who wants a bath can wait until the nurse has addressed more pressing needs. The client who asks to review instructions about their new prescription can also wait, as long as they are not in immediate danger. The client who needs a referral for home health services can also wait until the nurse has addressed more urgent needs.

A. Give fresh water to each client who does not have NPO status. B. Obtain a routine urine sample from a client right after admission. C. Transport a client to the radiology department for an x-ray. D. Take an ABG specimen to the laboratory.

Correct Answer is D

Explanation

The nurse should ask the AP to perform the task of taking an ABG (arterial blood gas) specimen to the laboratory first. This is because ABG specimens need to be analyzed promptly to ensure accurate results. Timely analysis of ABG specimens is important for making clinical decisions and providing appropriate care to the client.
Option A is incorrect because giving fresh water to clients who do not have NPO status is not as time-sensitive as taking an ABG specimen to the laboratory.
Option B is incorrect because obtaining a routine urine sample from a client right after admission is not as time-sensitive as taking an ABG specimen to the laboratory.
Option C is incorrect because transporting a client to the radiology department for an x-ray is not as time-sensitive as taking an ABG specimen to the laboratory.

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A nurse enters a client's room and finds the client on the ﬂoor. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?

Correct Answer is D

Explanation

A nurse is performing care for several clients with the help of an assistive personnel (AP). Which task should the nurse ask the AP to perform first?

Correct Answer is D

Explanation

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