A patient has called the nurse to help them ambulate to the bathroom. The nurse assists the patient to a dangling position on the bed and applied the gait belt. Upon standing, the patient reports that they are feeling very dizzy. What is the next best action by the nurse?
Call for assistance.
Assist the patient in sitting down on the bed.
Assess the vital signs for orthostatic hypotension.
Notify the provider
The Correct Answer is B
A. Call for assistance. While calling for help may be necessary if the patient becomes unresponsive or falls, the priority action is to ensure their safety immediately by helping them sit down.
B. Assist the patient in sitting down on the bed. The patient is experiencing dizziness upon standing, which could indicate orthostatic hypotension or another condition. The best immediate action is to help them sit down to prevent a fall or further complications.
C. Assess the vital signs for orthostatic hypotension. While assessing for orthostatic hypotension is important, it should be done after ensuring the patient is safe by sitting them down.
D. Notify the provider. The provider may need to be informed if the dizziness persists or if there is an underlying medical issue. Still, immediate intervention (sitting the patient down) takes priority before notifying the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.
B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).
C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.
D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.
Correct Answer is C
Explanation
A. "Everyone knows there are others who can chair this committee better than me." This statement is self-deprecating and does not reflect assertive communication. It shifts responsibility to others instead of setting a clear boundary.
B. "It's just not the right time for me to do this." While this statement declines the opportunity, it leaves room for misinterpretation and follow-up pressure to accept later.
C. "I decline the opportunity at this time." This is a clear, direct, and assertive way to decline without over-explaining or inviting negotiation.
D. "Can you tell me why you chose me?" This response does not decline the role; instead, it invites discussion and may make it harder to say no later.
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