A nurse enters a client's room to answer the call light and sees the client is in the bathroom on the floor. Which of the following actions should the nurse take first?

Obtain the client's vital signs.

Inform the client's family member.

Notify the client's provider.

Assist the client back into bed.

Answer and Explanation

The Correct Answer is A

A. Obtain the client's vital signs: The nurse's priority is to assess the client for any injuries or complications that may have occurred during the fall. Obtaining vital signs provides critical information about the client's immediate health status, such as the presence of hypotension, tachycardia, or other abnormalities that might indicate injury or a medical issue that caused the fall.

B. Inform the client's family member: While it may be necessary to inform the family of the incident, this is not the nurse's first priority. Ensuring the client’s safety and assessing their condition takes precedence.

C. Notify the client's provider: The provider needs to be informed of the fall, especially if there are injuries or changes in the client’s condition. However, this action should occur after the nurse has assessed the client and gathered pertinent information.

D. Assist the client back into bed: The nurse should not move the client until an assessment has been completed. Moving the client without first assessing their condition could potentially worsen any undiagnosed injuries, such as fractures or spinal injuries.

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Correct Answer is D

Explanation

A. Aspirin is not primarily prescribed to prevent fever. Its primary mechanism of action is related to its effects on platelets and blood clotting rather than its antipyretic (fever-reducing) properties.

B. While aspirin can provide analgesic (pain-relieving) effects, especially for mild to moderate pain, its use in clients with coronary artery disease is primarily due to its antiplatelet properties rather than its analgesic effects.

C. Aspirin has some anti-inflammatory properties, but in the context of coronary artery disease, its main benefit is related to its antiplatelet function rather than its anti-inflammatory effects.

D. Aspirin is widely prescribed in cardiovascular conditions like coronary artery disease because it inhibits the aggregation of platelets, reducing the risk of blood clot formation. This antiplatelet effect helps in preventing blood clots that could potentially lead to further blockages in the arteries, reducing the risk of complications such as heart attacks or strokes in individuals with heart disease.

A. "It is a good idea to use the handrails in the bathroom." B. "I should use chairs without armrests." C. "I should place a throw rug over electrical cords." D. "I should get a longer cord for my telephone."

Correct Answer is A

Explanation

A. "It is a good idea to use the handrails in the bathroom":

This statement reflects an understanding of the importance of using handrails in the bathroom for stability and support, especially when getting in and out of the bathtub or shower. Using handrails can prevent slips and falls in this high-risk area.

B. "I should use chairs without armrests":

Using chairs without armrests may not necessarily contribute to fall prevention. Chairs with armrests can provide additional support and stability when sitting down or getting up.

C. "I should place a throw rug over electrical cords":

Placing a throw rug over electrical cords creates a tripping hazard. It is not a safe practice and contradicts fall prevention measures. Throw rugs should be secured and not placed over cords.

D. "I should get a longer cord for my telephone":

Getting a longer cord for the telephone may not be directly related to fall prevention. It is important to focus on measures that enhance safety and reduce fall risks, such as proper lighting, clear pathways, and the use of assistive devices.

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A nurse enters a client's room to answer the call light and sees the client is in the bathroom on the floor. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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