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.
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 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.
Correct Answer is ["A","D"]
Explanation
Addressing the situation as soon as possible [a] and assisting the provider in identifying alternative solutions [d] are actions that display conflict resolution. Conflict resolution involves finding a peaceful and mutually acceptable solution to a disagreement or dispute. By addressing the situation promptly and helping the provider to identify alternative solutions, the charge nurse can facilitate communication and collaboration between the provider and the staff nurse and help to resolve the conflict.
The other options do not display conflict resolution. Using aggressive communication skills [b] can escalate the conflict and make it more difficult to find a resolution. Fostering closed communication [c] can also hinder the resolution of the conflict by preventing open and honest dialogue between the parties involved.
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