A nurse is assisting a patient who is dizzy and lightheaded to sit up in bed. What should the nurse do first?

Monitor the patient's blood pressure and pulse.

Instruct the patient to sit up quickly to overcome dizziness.

Encourage the patient to take deep breaths.

Lower the head of the bed slowly and support the patient's head.

Answer and Explanation

The Correct Answer is D

A. Monitoring vital signs is important, but it should occur after ensuring the patient’s immediate safety to prevent falls or injury.

B. Instructing the patient to sit up quickly could worsen dizziness or cause a fall, making it unsafe.

C. Encouraging deep breaths may help with relaxation, but it does not address the immediate risk of the patient losing balance or fainting.

D. Lowering the head of the bed slowly and supporting the patient's head is the first action to ensure safety, prevent falls, and reduce the risk of syncope. Once the patient is stable, the nurse can then assess vital signs and provide further care.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Locking the brakes on the wheelchair is important to prevent movement, but it does not directly provide support to the patient during the transfer.

B. Positioning the wheelchair close to the bed reduces the distance of the transfer but does not ensure stability or safety during movement.

C. Using a gait belt is the most crucial intervention, as it provides a secure point of contact for the nurse to support and stabilize the patient, reducing the risk of falls or injury during the transfer.

D. Ensuring the patient wears non-slip footwear helps prevent slipping, but it is secondary to the physical support provided by a gait belt during the actual transfer.

A. Trendelenburg position B. Prone position C. Right lateral position D. Supine position

Correct Answer is C

Explanation

A. The Trendelenburg position (head lower than feet) is primarily used to promote venous return and for certain surgical or cardiac procedures, not for lung drainage.

B. Prone positioning can improve oxygenation in patients with acute respiratory distress syndrome (ARDS) but is not the standard strategy for targeted lung drainage in pneumonia.

C. Right lateral positioning is effective for promoting drainage of specific lung segments in patients with pneumonia. Positioning the affected lung uppermost allows gravity to aid in drainage of secretions and improves ventilation-perfusion in healthier lung areas.

D. Supine position (lying flat on the back) can impede lung drainage and may increase the risk of secretion accumulation in the posterior lung segments.

View Question and Answer

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

A nurse is assisting a patient who is dizzy and lightheaded to sit up in bed. What should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When moving a patient from a bed to a chair, which of the following interventions is most crucial to ensure patient safety?

Correct Answer is C

Explanation

Which positioning strategy is most effective for promoting lung drainage in a patient with pneumonia?

Correct Answer is C

Explanation

A nurse is collecting data to determine the best practice for reducing pressure injuries in clients. Which of the following roles is the nurse taking?

A nurse is discussing a client's needs at an interdisciplinary team conference. The client had a stroke and required inpatient rehabilitation incorporated into their plan of care. Which of the nursing competencies is the nurse demonstrating?

When reviewing the role of a change agent, which of the following examples should a nurse identify as part of this role?

A nurse is preparing to reposition a client. Which of the following actions should the nurse take first?

A nurse is assisting with the care of a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client?

A nurse is measuring the blood pressure of a client and hears faint, clear tapping sounds at 110 mm Hg and then silence. What does this indicate?

A nurse assists with checking a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?