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