A nurse enters a room and finds the client lying on the floor. Which of the following actions should the nurse take first?
Ask a staff member for assistance getting the client back in bed.
Instruct the client to ask for help if they need to get out of bed.
Call the provider.
Inspect the client for injuries.
The Correct Answer is D
Choice A reason: While asking for assistance is important, the first action should be to assess the client for any injuries to determine the appropriate course of action.
Choice B reason: Instructing the client to ask for help is a preventive measure for future incidents but does not address the immediate concern of potential injuries.
Choice C reason: Calling the provider is necessary after assessing and stabilizing the client's condition, not as the first action upon finding the client on the floor.
Choice D reason: The nurse's priority is to ensure the client's safety. Inspecting the client for injuries immediately helps to identify any urgent medical needs and is the most appropriate first response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Arranging a compromise is a good approach, but it may not be feasible or satisfactory for all parties involved.
Choice B reason: Using a position of power to unilaterally resolve the conflict can create resentment and is not a collaborative solution.
Choice C reason: Relying on contracted staffing avoids addressing the conflict and does not foster a resolution or understanding between the employees.
Choice D reason: Meeting with both employees and engaging them in the problem-solving process is the best method as it encourages communication, understanding, and allows for a mutually agreeable solution to be found.
Correct Answer is A
Explanation
Choice A reason: Advocating for the patient means the nurse manager is acting on behalf of the patient's interests, especially when the patient is unable to do so. This includes ensuring the patient receives necessary medical care regardless of their ability to pay.
Choice B reason: Empowering the patient typically involves educating and enabling them to make informed decisions about their own care. While important, it does not directly relate to the nurse manager's actions in this scenario.
Choice C reason: Avoiding litigation may be a secondary benefit of advocating for the patient, but it is not the primary intention described in this scenario. The focus is on patient care, not legal consequences.
Choice D reason: Supporting the clinical pathway involves following established protocols for patient care. While the nurse manager's actions may align with the clinical pathway, the term does not capture the advocacy aspect of ensuring treatment for a patient who cannot pay.
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