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 B,E,A,C,D
Explanation
Choice A reason: Calling the provider is important but not the first step in response to a severe weather code. The immediate safety and assessment of the client take precedence.
Choice B reason: Checking vital signs is the first step in assessing the client’s current health status and determining the need for immediate interventions during severe weather conditions.
Choice C reason: Notifying risk management is a subsequent step after initial client assessment and ensuring safety, as they will coordinate the broader institutional response to the severe weather event.
Choice D reason: Completing an incident report is one of the final steps after managing the immediate risks and communicating with the necessary parties, to document the event and the response taken.
Choice E reason: Instructing the client to remain in bed until further notice is a critical early step to ensure the client’s safety, especially if there is a risk of injury from the severe weather conditions.
Correct Answer is D
Explanation
Choice A reason: While understanding a candidate's background is important, it does not specifically address their fit with the unit's culture.
Choice B reason: Asking about strengths and weaknesses provides insight into a candidate's self-awareness but does not directly relate to cultural fit.
Choice C reason: Reviewing a resume is a standard part of the interview process but does not provide information on how the candidate would interact within the unit's culture.
Choice D reason: This question is relevant to determining cultural fit as it assesses the candidate's interpersonal skills and their approach to potential conflicts or challenges within the unit's environment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
