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