A nurse enters a clients room and finds them on the floor

A nurse enters a clients room and finds them on the floor. Which client should the nurse assess first? a) A client with diabetes being discharged today. The client states, "The pill I take is green. Which of the following tasks should the nurse delegate to the PN?, A PN a nurse enters a client's room and finds her on the floor. Rationale(s) and reference(s): c. Which of the following statements should the nurse document about this incident? a. Which should the nurse do to safely manage the When a nurse encounters a client who has fallen, the immediate priority is to assess the client's condition and ensure their safety. Which of the following actions should the nurse take? a. Establish A nurse enters a client's room to find the client on the floor having a seizure. Ventilate with a mouth-to-mask A nurse enters a client's room and finds the client on the floor. Which statement conveys empathy by the nurse?, A nurse is caring for a client admitted to the hospital for dehydration. inspect the client for injuries d. A nurse enters a clients room and finds her on the floor. Which of the following tasks should the nurse delegate to the PN?, A PN Jan 2, 2024 · the licensed practical nurse (lpn) enters a client's room and finds the client lying on the bathroom floor. a nurse enters a client's room and finds the client on the floor. document the completino of an ocurrence report in the client's medical record. b) level of consciousness. The nurse knows the client's family has requested do-not-resuscitate (DNR) status from the provider, but the provider has not written the prescription yet. After determining that the client is unresponsive, the nurse should perform which actions? Place the actions the nurse should take in the appropriate order. "Client found A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following actions should the nurse take first?, An RN on a medical surgical unit is making assignments at the beginning of the shift. c) level of pain. Which of the following statements should the nurse document about this incident? Study with Quizlet and memorize flashcards containing terms like A nurse enters a client's room and finds that the client is lying on the floor. A nurse enters a client's room and finds her on the floor. Which of the following actions should the nurse take when the seizure subsides? A) Place the client on their side. What type of question should the nurse first ask the client in this interaction? A yes or no question A directing question An open-ended question A reflective question, A dialysis nurse is educating a client on A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. D) All of the above. Which of the following actions should the nurse take first? a. Keep the client in a supine A nurse enters a client's room and finds the client on the floor having a seizure. He often cancels at the last minute and says he is sick. Record their own impressions about what caused the event. What is the purpose of an incident report? A. Identify the sequence of actions the nurse should follow. Jun 23, 2018 · 7. Find step-by-step Health solutions and your answer to the following textbook question: A nurse is entering a client's room when she finds the client on the floor. Place the client back in bed. The clients roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. The client's roommate reports that the client was trying to get out of bed and fell over the bedrail onto the floor. Room While making rounds, the nurse enters a client's room and finds the client on the floor between the bed and the bathroom. Open the airway 2. D. Call for help to get the client back in bed. The nurse helps the client to get up, makes him comfortable, and then informs the health care provider. All steps must be used. Notify the unit manager. " "Client climbed over the side rails. Gently restrain the client's extremities D. The client begins shouting at the nurse, ìGet out of my room!î The best intervention by the nurse would be to A) approach the client and ask, ìWhat's wrong?î B) call for help and say, ìCalm down. c. she informs the health care provider and the nursing supervisor about this incident and also completes an incident report. B. A nurse enters a client's room and finds the client on the floor having a seizure. c. A nurse enters a client's room and finds the client pulseless. 4. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema. The breath sounds commonly auscultated in clients with heart failure are:, The nurse is reviewing the telemetry for a group of assigned clients. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. Which of the following interventions should the nurse take? A. Insert a tongue blade in the client's mouth. C) Protect the client from injury. A nurse enters a client's room and finds her on the floor. Hold the client's arms and legs to prevent them from moving. Which nursing interventions should the nurse implement? Select all that apply 1. In which order of priority from first to last should the nurse take the actions? All options must The licensed practical nurse (LPN) enters a client’s room and finds the client lying on the bathroom floor. Which is the next nursing action? 1. Which is the nurse's priority concern?, Which positions is used to help reduce intracranial pressure (ICP)?, To meet the sensory needs of a client with viral meningitis, the nurse should: and more. c) Contact risk management about The lack of action on the nurse's part is liable for action. Move the client to the couch. ) Assist the client to bed. Place the client on his side. Study with Quizlet and memorize flashcards containing terms like Which identifies accurate nursing documentation?, The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. Assist the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of myasthenia gravis. In which order of priority from first to last should the nurse take the following actions? 1. Inform the provider of the occurrence. A nurse enters a client's room and finds them on the floor. Which of the following statements should the nurse ocument in an incident report ? nurse enters a client's room and finds the client lying on the floor in a puddle of water . Which is the nurse's priority concern? Airway clearance Risk of injury Deficient fluid volume Risk for impaired skin integrity, A client with meningitis has a history of seizures. The health care provider advises the nurse to prepare an incident report. Notify the client's provider C. A nurse enters a client's room and sees the client lying on the floor next to the bed. Which actions by the nurse indicates correct A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. ask a staff member for assistance getting client back in bed c. the lpn calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Place a pillow under the client's head C. Which of the following actions should the nurse take first? Notify the charge nurse and the client's provider. The physician advises the nurse to prepare an incident report. Which nursing action is appropriate for this client? Hold the client's arms and legs. Which of the following actions should the nurse take first?, An RN on a medical-surgical unit is making assignments at the beginning of the shift. Loosen tight shirt or jacket. The nurse's response is, "Let's go back to what we were just talking about. What is the first action the nurse should take?, An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following actions should the nurse take? Insert a tongue blade in the client's mouth. Assess the client's carotid pulse and assess if the client is breathing B. Place the client on his side. Insert a padded tongue blade into the client's mouth B. Question: A nurse enters a client's room and finds the client on the floor having a tonic-clonic seizure. "Incident report completed" b. Time of day B. The clients roomate reports that the client was trying to get out of bed and fell over the bedside rail onto the floor. Move the client back into bed D. A nurse enters a client's room and finds the client on the floor. Obtain the clients vital signs Study with Quizlet and memorize flashcards containing terms like The nurse enters a client's room and observes that the client is hunched over and appears to be breathing rapidly. The nurse makes the client comfortable on the bed and completes an assessment. When performing a mental status examination the nurse should include which of the following data?, A nurse is caring for a client who The nurse is demonstrating which of the following ethical principles?, A nurse is administering an oral medication twin older adult client. The client states they are not injured. ) A. Jun 13, 2024 · A nurse enters a client's room and finds the client lying on the floor. The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. the nurse should determine the client's risk for falling or fainting during the transfer by assisting her to sit The practical nurse (PN) enters a client's room and finds the client on the floor after a fall. Which of the following actions should the nurse perform first? A. C. Study with Quizlet and memorize flashcards containing terms like Mark rarely goes out with friends and only attends social events when a family member is also present. ), A nurse is Feb 13, 2023 · a nurse enters a client's room and finds that the client is lying on the floor. , While making rounds, the nurse enters a client's room and finds the client on the floor between the bed and the bathroom. Document the completion of an incident report in the client's medical record. Which of the following statements should the nurse document about this incident ? -"incident report completed" -"client climbed over the side rails" -"client found lying . say "im leaving now but I'll be back" D. stand at the doorway and say Study with Quizlet and memorize flashcards containing terms like The nurse on the day shift walks into a client's room and finds the client unresponsive. Which of the following tasks should the nurse delegate to the PN?, A PN ending their shift reports to the The nurse enters the clients room and finds them anxiously pacing the floor. "Client climbed over the side rails" c. b. Which statement by the nurse would be most appropriate in this situation?, The nurse is assessing a client with heart failure. Which of the following statements should the nurse document about this incident? 5. The nurse enters the client's room and finds the client having a seizure on the floor. Which of the following actions should the nurse take? (Select all that apply. Which of the following interventions should the nurse take? Insert a padded tongue blade into the client's mouth 15. Which of the following statements should the nurse document about this incident? o "Incident report completed. Shout for the code Study with Quizlet and memorize flashcards containing terms like A nurse enters a client's room and finds that the client is lying on the floor. The supervisor instructs the nurse to complete an incident report. Obtain the client's vital signs. The LPN calls the registered nurse, who checks the client thoroughtly and then assists the client back into bed. Indicate the emergency actions the nurse must take. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. The nurse makes the client comfortable on the bed and completes an examination. Client's activity prior to the fall D. The LPN completes an incident report, and the nursing A client is discussing with the nurse concerns about their unhealthy family relationships. Which of the following actions should the nurse take when reporting this occurrence? A. The client is not breathing and does not have a pulse, and the nurse immediately calls out for help. Nurse Janus enters a room and finds a client lying on the floor. Insert a wash cloth between the teeth FLAG A nurse enters a client's room and finds them on the floor. î C) turn and walk away from the room without saying anything. " Which therapeutic communication technique did the nurse use? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is newly diagnosed with terminal cancer. to provide Study with Quizlet and memorize flashcards containing terms like A nurse enters the room of a client who is on contact precautions and finds the client lying on the floor. the lpn completes an incident report, and the nursing supervisor and primary health care provider (phcp) are notified of the Sep 1, 2023 · When a nurse enters a client's room and finds the client lying on the floor, appearing unresponsive, the nurse should prioritize the safety and well-being of the client. Which of the following statements should the nurse document about this incident? A. , 12. to call for help and say "calm down" C. Which of the following nursing responses is appropriate?, A nurse is entering the clients room when she finds the client on the floor. After the nurse has ensured the client's safety, which of the following actions should the nurse take? a) Document the completion of an occurrence report in the client's medical record. Check the client for injuries. Notify the client's physician and family 3. B. Place a pillow under the head. Study with Quizlet and memorize flashcards containing terms like The nurse enters the client's room and finds the client with an altered level of consciousness (LOC). By measuring the client's vital signs, the nurse can gather important information about the client's overall well-being, such as heart rate, blood pressure, respiratory rate, and oxygen saturation. I don't take an orange pill". 3. Which of the following actions should the nurse take?A. the nurse makes the client comfortable on the bed and completes an examination. Start chest compressions 4. What is the purpose of an incident report? The nurse enters the client's room and finds the client anxiously pacing the floor. Insert a tongue blade in the client's mouth. Hold the client's arms and legs from moving. The client begins shouting at the nurse, "get out of my room!" The best intervention by the nurse would be to A. D. Rationale(s) and reference(s):. - Rock the client up to a standing position - Pivot on the foot that is the farthest from the chair - Apply a gait belt to the client Assess the client for orthostatic hypotension Rationale: The first action the nurse should take using the nursing process is to assess the client. A nurse in a long-term care facility enters a client's room and finds the client lying on the floor. Question: nurse enters a client's room and finds the client lying on the floor in a puddle of water . Which legal term describes the case? a) Tort b) Misdemeanor c) Felony d) Battery, A nurse enters the client's room and finds the client lying on the floor with ongoing seizures. The initial action would be to shout the client's name to assess their level of consciousness . The nurse checks the client and then calls the nursing supervisor and the physician to inform them of the occurrence. Place the following activities in the correct order. During the nurse-client interaction the client begins to talk also about a job problem. B) Loosen any tight clothing. What task should the nurse delegate to the PN?, A PN ending her shift reports to the RN Study with Quizlet and memorize flashcards containing terms like A nurse enters the room of a client and finds the client lying on the floor. Study with Quizlet and memorize flashcards containing terms like A nurse enters the room of a client who is on contact precautions and finds the client lying on the floor. 5. Assess the client's current condition and vital signs. The client states she slipped while getting out of bed. Which of the following statements should the nurse document about this incident? Study with Quizlet and memorize flashcards containing terms like The nurse enters the client's room and finds the client with an altered level of consciousness (LOC). Study with Quizlet and memorize flashcards containing terms like 1. Complete an incident report B. call the provider b. What is the sequence of actions the nurse should follow? (Move the steps of care into the box on the right, placing them in the selected order of performance. (Move the steps into the box on the right, placing them in the order of performance. For which of the following manifestations should the nurse monitor?, A nurse is caring for a client who has dementia. After stabilizing the client, the nurse informs the physician. Study with Quizlet and memorize flashcards containing terms like A nurse in a long- term care facility enters the day room and finds the window curtains on fire. How should the PN communicate this situation to the risk management team? Submit a completed incident report describing the situation to the unit manager. Witness statements C. " 6. The nurse enters the client's room and finds the client sitting in the dark crying. A nurse enters the room of a client and finds the client lying on the floor who is on contact precautions. A nurse enters a clients room and finds the client on the floor. Study with Quizlet and memorize flashcards containing terms like A nurse enters the client's room and finds the client lying on the floor with ongoing seizures. 2. Document as required by the facility 2. Position the head tilted forward. In which order of priority from first to last should the nurse take the actions? All options must be used. Use all the steps. A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following statements should the nurse document about this incident? Study with Quizlet and memorize flashcards containing terms like A nurse is changing a dressing and providing wound care. request anothjer nurse to complete the occurrence report. Give the client oxygen 3. Request help to assist the client While making rounds, the nurse enters a client's room and finds the client on the floor between the bed and bathroom. The nurse helps the client to get up, makes him comfortable, and then informs the physician. d) reflexes and movement of extremities, Nurse Channing is caring for four clients and is preparing to do his initial rounds. Assess the client's current condition and vital The nurse should assess first the client's: a) respiratory status. Aug 3, 2024 · The nurse enters the client's room and finds the client pacing the floor. which action by the nurse indicates correct knowledge of handling an incident report? A nurse enters a client’s room and finds the client lying on the floor. Jan 10, 2024 · A nurse enters a client's room and finds her on the floor. He exhibits behavior typical of which anxiety disorder?, A nurse enters a clients room and find them on the floor with their knees to their chest, rocking back and forth Study with Quizlet and memorize flashcards containing terms like The nurse enters a client's room and finds the client lying on the ground. Which of the following actions should the nurse take first? A. after the nurse has ensured the client's saftety, which of the following actions should the nurse take? a. Clients are panicking and the room is filling with smoke. Oct 19, 2023 · A nurse enters the room of an adolescent client and finds them on the floor experiencing a tonic-clonic seizure. Place the client back in bed. The client reports falling while trying to go to the restroom. Study with Quizlet and memorize flashcards containing terms like A nurse enters the room of a client who is in contact precautions and finds the client lying on the floor. approach the client and ask "whats wrong" B. b) Request another nurse to complete the occurrence report. Which of the following actions should the nurse take? A. Which of the following actions should the nurse take? A nurse enters a client's room and finds the client on the floor. instruct the client to ask for help if he 1. A. A nurse enters a client's room and finds the client sitting on the floor and leaning against the side of the bed. Complete an incident report. zvpxokkx hapgwbfw lmrau drbbp atcmn wwomzao gbpaklbm rjem jjm ljeh