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 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. Record their own impressions about what caused the event. In which order of priority from first to last should the nurse take the actions? All options must be used. Which statement conveys empathy by the nurse?, A nurse is caring for a client admitted to the hospital for dehydration. , 12. Jan 10, 2024 · A nurse enters a client's room and finds her on the floor. Jun 13, 2024 · A nurse enters a client's room and finds the client lying on the floor. D. The nurse's response is, "Let's go back to what we were just talking about. Establish A nurse enters a client's room to find the client on the floor having a seizure. Oct 19, 2023 · A nurse enters the room of an adolescent client and finds them on the floor experiencing a tonic-clonic seizure. Which of the following interventions should the nurse take? A. The clients roommate reports that the client was trying to get out of bed and fell over the side rail onto 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. A nurse enters a clients room and finds her on the floor. The client is not breathing and does not have a pulse, and the nurse immediately calls out for help. Which of the following actions should the nurse take? a. 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). 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. document the completino of an ocurrence report in the client's medical record. The client's roommate reports that the client was trying to get out of bed and fell over the bedrail onto the floor. Which of the following actions should the nurse take when reporting this occurrence? A. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema. 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. after the nurse has ensured the client's saftety, which of the following actions should the nurse take? a. 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. 2. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. The health care provider advises the nurse to prepare an incident report. say "im leaving now but I'll be back" D. Which of the following actions should the nurse take? A. Position the head tilted forward. C. For which of the following manifestations should the nurse monitor?, A nurse is caring for a client who has dementia. Open the airway 2. "Incident report completed" b. A nurse enters a client's room and finds the client on the floor. Place the following activities in the correct order. A nurse enters a client's room and finds her on the floor. Identify the sequence of actions the nurse should follow. The client states they are not injured. The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. B) Loosen any tight clothing. The nurse helps the client to get up, makes him comfortable, and then informs the physician. 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. The breath sounds commonly auscultated in clients with heart failure are:, The nurse is reviewing the telemetry for a group of assigned clients. A nurse enters a client's room and finds the client on the floor having a seizure. Assess the client's current condition and vital The nurse should assess first the client's: a) respiratory status. Ventilate with a mouth-to-mask A nurse enters a client's room and finds the client on the floor. " 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. Which of the following statements should the nurse document about this incident ? -"incident report completed" -"client climbed over the side rails" -"client found lying . Rationale(s) and reference(s):. A nurse enters a client's room and finds the client sitting on the floor and leaning against the side of the bed. The nurse makes the client comfortable on the bed and completes an assessment. The client states she slipped while getting out of bed. Which of the following actions should the nurse take? A nurse enters a client's room and finds the client on the floor. Complete an incident report B. 3. Notify the unit manager. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. A nurse enters the room of a client and finds the client lying on the floor who is on contact precautions. 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. 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. 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. How should the PN communicate this situation to the risk management team? Submit a completed incident report describing the situation to the unit manager. the nurse makes the client comfortable on the bed and completes an examination. Move the client back into bed D. instruct the client to ask for help if he 1. Which statement by the nurse would be most appropriate in this situation?, The nurse is assessing a client with heart failure. Inform the provider of the occurrence. A nurse in a long-term care facility enters a client's room and finds the client lying on the floor. Which nursing interventions should the nurse implement? Select all that apply 1. approach the client and ask "whats wrong" B. A nurse enters a client's room and finds them on the floor. Obtain the client's vital signs. D) All of the above. 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). Which of the following actions should the nurse take? (Select all that apply. 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. Which is the next nursing action? 1. 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. During the nurse-client interaction the client begins to talk also about a job problem. Which of the following actions should the nurse take first? A. The nurse helps the client to get up, makes him comfortable, and then informs the health care provider. A nurse enters a client's room and sees the client lying on the floor next to the bed. Rationale(s) and reference(s): c. The initial action would be to shout the client's name to assess their level of consciousness . Notify the client's physician and family 3. 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. c. What is the purpose of an incident report? The nurse enters the client's room and finds the client anxiously pacing the floor. 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. Which of the following statements should the nurse document about this incident? 5. 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. 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. Time of day B. What is the purpose of an incident report? A. Which of the following actions should the nurse take when the seizure subsides? A) Place the client on their side. The nurse enters the client's room and finds the client having a seizure 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. ask a staff member for assistance getting client back in bed c. Insert a padded tongue blade into the client's mouth B. ), A nurse is Feb 13, 2023 · a nurse enters a client's room and finds that the client is 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. " 6. Which of the following statements should the nurse document about this incident? o "Incident report completed. Jun 23, 2018 · 7. Assess the client's carotid pulse and assess if the client is breathing B. 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. Move the client to the couch. Room While making rounds, the nurse enters a client's room and finds the client on the floor between the bed and the bathroom. Which of the following actions should the nurse take first? Notify the charge nurse and the client's provider. The supervisor instructs the nurse to complete an incident report. Place a pillow under the client's head C. Use all the steps. 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. Check the client for injuries. Study with Quizlet and memorize flashcards containing terms like 1. Question: nurse enters a client's room and finds the client lying on the floor in a puddle of water . He often cancels at the last minute and says he is sick. - 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. Insert a tongue blade in the client's mouth. The LPN completes an incident report, and the nursing A client is discussing with the nurse concerns about their unhealthy family relationships. b) level of consciousness. The nurse enters the client's room and finds the client sitting in the dark crying. ) A. Place the client on his side. 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. 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. C) Protect the client from injury. Place the client on his side. Indicate the emergency actions the nurse must take. A nurse enters a clients 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. I don't take an orange pill". b) Request another nurse to complete the occurrence report. Which of the following actions should the nurse take? Insert a tongue blade in the client's mouth. , While making rounds, the nurse enters a client's room and finds the client on the floor between the bed and the bathroom. Assess the client's current condition and vital signs. 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. 4. c. Place the client back in bed. B. 5. c) Contact risk management about The lack of action on the nurse's part is liable for action. a nurse enters a client's room and finds the client on the floor. Call for help to get the client back in bed. î C) turn and walk away from the room without saying anything. Keep the client in a supine A nurse enters a client's room and finds the client on the floor having a seizure. The clients roomate reports that the client was trying to get out of bed and fell over the bedside rail onto the floor. Question: A nurse enters a client's room and finds the client on the floor having a tonic-clonic seizure. Start chest compressions 4. A nurse enters a client's room and finds the client pulseless. (Move the steps into the box on the right, placing them in the order of performance. inspect the client for injuries d. The nurse checks the client and then calls the nursing supervisor and the physician to inform them of the occurrence. The client reports falling while trying to go to the restroom. Which of the following statements should the nurse document about this incident? a. 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. Which of the following nursing responses is appropriate?, A nurse is entering the clients room when she finds the client on the floor. Hold the client's arms and legs to prevent them from moving. Loosen tight shirt or jacket. 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. Notify the client's provider C. The client begins shouting at the nurse, "get out of my room!" The best intervention by the nurse would be to A. In which order of priority from first to last should the nurse take the following actions? 1. A nurse enters a client's room and finds the client on the floor having a seizure. 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. Client's activity prior to the fall D. 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. 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. 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. Which of the following interventions should the nurse take? Insert a padded tongue blade into the client's mouth 15. Witness statements C. Place a pillow under the head. ) Assist the client to bed. Complete an incident report. 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. A nurse enters a client's room and finds her on the floor. the lpn calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. Which of the following actions should the nurse perform first? A. Which nursing action is appropriate for this client? Hold the client's arms and legs. Document the completion of an incident report in the client's medical record. 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. 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 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. Which of the following actions should the nurse take?A. 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. Nurse Janus enters a room and finds a client lying on the floor. Gently restrain the client's extremities D. call the provider b. 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. Which of the following statements should the nurse document about this incident? A. Insert a tongue blade in the client's mouth. request anothjer nurse to complete the occurrence report. Which of the following actions should the nurse take first? a. 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 LPN calls the registered nurse, who checks the client thoroughtly and then assists the client back into bed. 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. Which client should the nurse assess first? a) A client with diabetes being discharged today. Clients are panicking and the room is filling with smoke. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. b. "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. 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. D. The client states, "The pill I take is green. The physician advises the nurse to prepare an incident report. 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 nurse makes the client comfortable on the bed and completes an examination. After determining that the client is unresponsive, the nurse should perform which actions? Place the actions the nurse should take in the appropriate order. Document as required by the facility 2. 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. All steps must be used. " "Client climbed over the side rails. to call for help and say "calm down" C. d) reflexes and movement of extremities, Nurse Channing is caring for four clients and is preparing to do his initial rounds. she informs the health care provider and the nursing supervisor about this incident and also completes an incident report. c) level of pain. After stabilizing the client, the nurse informs the physician. Place the client back in bed. Give the client oxygen 3. 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. B. Hold the client's arms and legs from moving. "Client climbed over the side rails" c. bbkwxukwaveaeansxhoikmdardoscuufqjtesqgspsaq
