You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not controlled before being found on the floor.
What is your first step in the nursing process in this situation?
Leave the patient to get help.
Call the patient’s health-care provider from your cell phone.
Help the patient get up and then document your findings in the chart.
Gather more information by making observations about the patient.
The Correct Answer is D
The first step in the nursing process is assessment, which involves gathering information about the patient’s condition. In this situation, the nurse should make observations about the patient’s physical and mental status, including any signs of injury or distress. This information can then be used to determine the appropriate course of action and provide appropriate care. The other
The other options do not represent the first step in the nursing process and may not be appropriate in this situation.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
The nurse needs to administer Thorazine 75 mg IM STAT, and the concentration of the medication is 25 mg/mL. To determine the amount of medication to draw up, the nurse can use the following formula:
Dose (in mg) / Concentration (in mg/mL) = Volume (in mL) Plugging in the values, we get:
75 mg / 25 mg/mL = Volume (in mL) Solving for Volume:
Volume = 75 mg / 25 mg/mL = 3 mL
Therefore, the nurse should draw up 3 mL of Thorazine from the vial.
Correct Answer is B
Explanation
Nurses who care for patients who are homeless understand that homelessness is a complex issue and that there are many factors that can contribute to it. While mental illness can be a contributing factor, it is not the only one and not all homeless individuals have a mental illness. It is important for nurses to approach each patient as an individual and to provide care that is tailored to their specific needs and circumstances.

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