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

A nurse enters a clients room and finds them on the floor. 3. c) Contact risk management about A nurse enters a clients room and finds her on the floor. Complete an incident report B. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Step 1. Which action should the nurse perform first? Go out in the hall to get the nursing assistant to stay with the A nurse enters a clients room and finds him on the floor in the clonic phase of from CAPSTONE NUR2989 at Rasmussen College, Florida. The nurse enters a patient's room and finds them lying on the floor. Stay with the client but call for help check the spo2 if low commence oxygen send for doctor check for other vital signs, check Blood sugar levels , when the doctor comes follow instructions and document all you have been doing. 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: 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. Displays reflexive grasp The nurse enters the client's room and finds the client crying. c. ) A. Obtain the client’s vital signs. Request help to assist the client A nurse enters a client's room and finds the client on the floor having a tonic-clonic seizure. B. " - "Client climbed over the bedrails" - "Client found lying on floor" - "Client was trying to get out of bed" "Client found lying on the floor" Rationale: The nurse should include documentation that is descriptive, objective information about what she actually observed, without any opinions or judgement about motive or cause. " "Client climbed over the side rails. The LPN completes an incident report, and the nursing supervisor and primary health care provider (PHCP) are notified of the The nurse enters the clients room and finds them anxiously pacing the floor. Nurse Janus enters a room and finds a client lying on the floor. Place the client back in bed. ) Assist the client to bed. The nurse's response is, "Let's 66. Which of the following actions should the nurse take first? Notify the charge nurse and the client's provider. Call for help to get the client back in bed. 2. ” Which of the following actions should the nurse take first? a. 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 should A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. B. The nurse enters the client's room and finds the client having a seizure on the floor a nurse enters a client's room and finds that the client is lying on the floor. Which of the following actions should the nurse take first? a. call the provider b. Notify the client’s provider. The LPN The practical nurse (PN) is assessing a client's 2 days after post hip replacement surgery. Question: nurse enters a client's room and finds the client lying on the floor in a puddle of water . Place the client on his side. stand at the doorway and say The nurse aide enters a client's room, and the client states that he has pain. A nurse enters a room and finds a patient lying face down on the floor and bleeding from a gash in the head. Which is the correct intervention by the nurse? During the nurse-client interaction the client begins to talk also about a job problem. Document the fall in the client’s medical record. In which order of priority from first to last should the nurse take the following actions? 1. Client found on The nurse enters the clients room and finds them anxiously pacing the floor. The licensed practical nurse (LPN) enters a client’s room and finds the client lying on the bathroom floor. 4. " A nurse enters a clients room and finds her on the floor. The living will requires that the client's signature be witnessed, and the client asks the nurse to witness the signature. Study with Quizlet and memorize flashcards containing terms like The nurse enters a client's room and notes that the client's lawyer is present and that the client is preparing a living will. " b. Place a pillow under the client's head C. AI Chat with PDF. The client states she slipped while getting out of bed. Let it drop to the floor and step out of it (C) Roll it dirty side in and away from the body (D) If a nurse aide finds a client who is sad and crying, the nurse aide should: (A) Study with Quizlet and memorize flashcards containing terms like The nurse enters a client's room to administer scheduled daily medications and observes the client leaning forward and using pursed lip breathing. A nurse enters a client's room and finds the client on the floor. Which of the following findings should the nurse identify as an indication of a complication of the restraint?, 1. the lpn completes an incident report, and the nursing supervisor and primary health care provider (phcp) are notified of the A nurse enters a client's room and sees the client lying on the floor next to the bed. 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 The nurse should first ensure the client’s safety before alerting others and calling for help. Keep the client in a supine A nurse enters a client's room and finds the client on the floor having a seizure. A nurse enters a client's room and finds her on the floor. C Turn the child onto their back. The LPN the licensed practical nurse (lpn) enters a client's room and finds the client lying on the bathroom floor. The nurse enters her client's room and finds the infant on a pillow with a bottle propped up while the mother is dressing. Improve absorption of vitamin B and C B. The clients roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. to call for help and say "calm down" C. instruct the 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). 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. Notify the unit manager. Rationale(s) and reference(s): c. Notify the client's provider. "Look how cute she is. How should the PN communicate this situation to the 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. All steps must be used. D. Explanation: 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. The LPN calls the registered nurse, who checks the client thoroughly and then assists the cli- ent back into bed. Which of the following actions should the nurse take? (Select all that apply. say "im leaving now but I'll be back" D. A client presents to the emergency room with dyspnea, chest pain, and syncope. Witness statements C. Solutions available. Which statement by the nurse would be most appropriate in this situation?, The nurse is assessing a client with heart failure. the lpn completes an incident report, and the nursing supervisor and primary health care provider (phcp) are notified of the Study with Quizlet and memorize flashcards containing terms like The nurse enters a client's room and finds the client slumped down in the chair. The client states, "I fell because no one would help 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. Study with Quizlet and memorize flashcards containing terms like The licensed practical nurse (LPN) enters a client's room and finds the client sitting on the floor. Place the client on his side. Which of the following statements should the nurse document The nurse should assess first the client's: a) respiratory status. c. D) Instruct the client to ask for help if they need to g A nurse enters a client's room and finds the client sitting on the floor and leaning against the side of the bed. The RN contacts the Charge nurse, who then contacts the nursing supervisor and care provider to inform them of the accident. Administer an anticonvulsant medication. the lpn completes an incident report, and the nursing supervisor and primary health care provider (phcp) are notified of the Question: A nurse enters a client's room and finds the client lying on the floor at the bedside. After determining that the client is unresponsive, the nurse should perform which actions? Place the actions the nurse should take in the appropriate order. A nurse enters a client's room and finds the client sitting on the floor and leaning against the side of the bed. Place the client back in bed. The physician advises the nurse to prepare an incident report. The LPN calls the registered nurse, who checks the client thoroughtly and then assists the client back into bed. He often cancels at the last minute and says he is sick. Document a description of the incident. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. A nurse is reinforcing teaching with a client who is to self-administer epoetin alfa. The nurse enters the client's room and finds the client anxiously pacing the floor. decrease sodium excretion c. Which of the following statements should the nurse document about this incident? o "Incident report completed. "Client climbed over the side rails" c. Assess the client's current condition and vital 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. Room Assess the client's food preferences and provide only those foods for the client at meal time. approach the client and ask "whats wrong" B. ask a staff member for assistance getting client back in bed c. A nurse enters a client’s room and finds her sitting on the floor next to the shower. Which statement should the nurse document on the incident Question: A nurse enters a client's room and finds the client on the floor in the clonic phase of a following actions should the nurse take ? A nurse enters a client's room and finds the client on the floor in the clonic phase of a following actions should the nurse take ? Here’s the best way to solve it. D. D Restrain the child's upper extremities. The LPN completes an incident report, and the nursing supervisor and 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 health care provider. Which of the following actions should the nurse take? Insert a tongue blade in the client's mouth. In assessing the client's vital signs, which finding requires the most immediate action by the PN? The practical nurse (PN) enters a client's room and finds the client on the floor after a fall. The initial action would be to shout the client's name to assess their level of consciousness . Time of day B. the licensed practical nurse (lpn) enters a client's room and finds the client lying on the bathroom floor. Which of the following tasks should the A nurse is collecting data from a client who has a wrist restraint in place. "You should always hold your baby for feedings instead of propping the bottles. RNSG 1343. 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). The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. inspect the client for injuries d. B) Ask a staff member for assistance getting the client back in bed. Assess the client's carotid pulse and assess if the 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? a. Identified Q&As 93. Which of the following actions should the nurse take?A. reduced fat in the stool, 1. Rationale(s) and reference(s):. Which of the following statements should the nurse document about this incident? a. A nurse enters a clients room and finds the client on the floor. Nursing. A nurse enters the room of a school-age child and finds him on the floor experiencing tonic- clonic seizure. ", 86. b) level of consciousness. C) Inspect the client for injuries. Clients are panicking and the room is filling with smoke. Breathing is shallow and a pulse is present. Hold the client's arms and legs from moving. A. , 12. Which of the following statements should the nurse document about this incident? Question: A nurse enters a client's room and finds the client on the floor having a tonic-clonic seizure. b. Based on this data, the nurse determines that which action is the priority?, A client with heart failure who is taking furosemide and digoxin calls the nurse and 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. 5. Which of the following actions should the nurse take first? a. When a nurse encounters a client who has fallen, the immediate priority is to assess the client's condition and ensure their safety. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident A nurse enters a client's room and finds the client on the floor. d 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. , The nurse enters a client's room and finds the client slumped over in bed. Complete an incident report. The nurse makes the client comfortable on the bed and completes an assessment. FLAG A nurse enters a client's room and finds them on the floor. A nurse enters a client's room and finds the client on the floor having a seizure. Arrange these fine motor skills in ascending order as the infant develops them. A nurse enters the room of a school-age child - "Incident report completed. An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on Nurse Janus enters a room and finds a client lying on the floor. Which of the following instructions should the nurse include?-Administer the medication subcutaneously. Which of the following interventions should the nurse take? After lowering the client to the floor, which of the following actions should the nurse take first? Apply oxygen by nasal cannula. Indicate the emergency actions the nurse must take. The nurse continues to assess the client, but the client begins to vomit large amounts of bright red blood. A nurse enters a clients room and finds him on the. D) Instruct the client to ask for help if they need to g Final answer: In the case of a client's fall, the nurse should document the observed facts: that the client was found by her on the floor, and the roommate witnessed the fall and called for help. He exhibits behavior typical of which anxiety disorder?, A nurse enters a clients room and find them on the floor with their knees 6. What 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 nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. Explanation: The nurse should document an objective, The nurse enters the room of a newly admitted client to complete the health assessment. 13. Position the head tilted forward. Check the client for injuries. d. b) Request another nurse to complete the occurrence report. Keep the client in a supine 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 action by the nurse indicates correct A nurse enters the room of a client and finds the client lying on the floor. " A nurse enters a client's room and finds the client lying on the floor at the bedside. The Correct Answer is B. The client's roommate reports that the client was trying to get out of bed and fell over the bedrail onto the floor. Expert Help. The breath sounds commonly auscultated in clients with heart failure are:, The nurse is reviewing the telemetry for a group of assigned clients. Pages 18. The A nurse enters a clients room and finds the client on the floor having a seizure from HISTORY 1302 at San Jacinto Community College. Which of the following actions should the nurse take? A Place a padded tongue blade in the child's mouth. Identify the sequence of actions the nurse should follow. Which of the following statements by the client should the nurse recognize as the use of the defense mechanism of suppression? but I know that just creates other problems. The client states, "I fell because no one would help me to the bathroom, but I think I can get up okay. "Are you almost ready to be discharged?" c. The correct documentation for a nurse to make following a client's fall is "client found lying on floor". the nurse makes the client comfortable on the bed and completes an examination. Incident report completed B. 1. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first? A) Call the provider. Gently restrain the client's extremities D. A nurse enters the room of a client and finds the client lying on the floor. Insert a padded tongue blade into the client's mouth B. Which of the following actions should the nurse take? A. Obtain the client's vital signs. Explanation: A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which is the appropriate nursing action?, The A nurse enters a client's room and finds her on the floor. Allow the client to eat in the dining room with other clients. The clients roomate reports that the client was trying to get out of bed and fell over the bedside rail onto the floor. The client reports falling while trying to go to the restroom. C. Collaboration unites personnel and services toward a common objective. 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 as required by the facility 2. Which of the following statements should the nurse document 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. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema. The health care provider advises the nurse to prepare an incident report. The nurse quickly assesses the client and discovers that the client is not breathing and there is no pulse. The client states, "I fell because no one would help Final answer: The correct first action when a nurse finds a client lying on the floor is to establish if the client is responsive. Loosen tight shirt or jacket. Which of the following actions should the nurse perform first? A. What statement should the nurse make? a. This is crucial for determining the severity of the situation and guiding the next steps in care, prioritizing the client's immediate safety and health status. A nurse in a long-term care facility enters a client's room and finds the client lying on the floor. A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. stand at the doorway and say A nurse enters a room and finds a patient lying face down on the floor and bleeding from a gash in the head. In which order of priority from first to last should the nurse take the actions? All options must be used. Which action is most important for the nurse to implement first?, During a clinic visit, a client with a kidney transplant ask, "What will 7. "Incident report completed" b. Notify the client's physician and family 3. (Move the steps into the box on the right, placing them in the order of Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment? A. Place a pillow under the head. AP 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. Insert a wash cloth between the teeth 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. The nurse is caring for clients on a medical surgical floor Which clients should from N leadership prequiz. "Is she almost done feeding?" A nurse enters a client's room and finds the client on the floor having a seizure. After stabilizing the client, the nurse informs the physician. While introducing themselves, the nurse begins to clean and arrange the equipment needed during the assessment and discovers that the licensed practical nurse (lpn) enters a client's room and finds the client lying on the bathroom floor. Hold the client's arms and legs to prevent them from moving. Which of the following statements should the nurse document Question: 32. Make sure the client has skid-free footwear Question: A nurse enters a client's room and finds the client lying on the floor at the bedside. 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. " d. 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 The nurse enters the client's room and finds the client pacing the floor. Next, the nurse completes an incident report because: A) The patient is at risk for a lawsuit a) role modeling behaviors of the preceptor b) the philosophy of the new nurse's school of nursing c) the orientation provided to the new nurse d) lack of trust in the team members Situation: Collaboration is a very important nursing skill. The nurse should not document any assumed injuries before an accurate medical evaluation. Choice D is wrong because removing the client from the room and closing the door may expose the client to more harm and make the fire worse. Which of the following statements should the nurse document about this incident? A. Study Resources. b. Client's activity prior to the fall D. A nurse enters the room of a school age child and finds them on the floor experiencing a tonic- clonic- seizure. Move the client back 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. Measure the client's vital signs. Move the client to the couch. A nurse enters a client's room and finds them on the floor. Synchronization of activities among the various . 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. A nurse enters a client’s room and sees the client on the floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. AI Homework Help. Total views 100+ Rasmussen College, A nurse enters a client's room and finds the client on the floor. Insert a tongue blade in the client's mouth. A nurse enters the room of a school-age child and finds them on the floor experiencing a tonic-clonic seizure. A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Inform the provider of the occurrence. The chain of command for this floor nurse is to report directly to the unit nurse manager. î C) turn and walk away from the room without saying anything. 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. Check the client for injuries C. Insert a padded tongue blade into the client's mouth is wrong because it can damage the client's teeth, gums, or tongue, or cause aspiration or airway obstruction. Client climbed over the side rails C. 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 client states, “I just fell doen. Which of the following actions should the nurse take first? A. View the full answer. Which nursing interventions should the nurse implement? Select all that apply 1. "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. she informs the health care provider and the nursing supervisor about this incident and also completes an incident report. docx. improved respiratory function d. c. The client begins shouting at the nurse, "get out of my room!" The best intervention by the nurse would be to A. The client is restless, and the pulse rate is increased. Log in Join. B Place a pillow under the child's head. A nurse enters a client's room and finds her on the floor. Establish PN COMPREHENSIVE PRACTICE 2020 A100 QUESTIONS AND ANSWERS1. They report that they fell trying to get out of bed. 86. Insert a tongue blade in the client's mouth. A nurse enters a client's room and finds her sitting on the floor next to the shower. Complete an incident report. Which of the following actions should the nurse perform first? Ask the client what happened. Notify the client's provider C. What task should the nurse delegate to the The nurse enters the client's room and finds the client having a seizure on the floor. Del Mar College. This statement is factual and observes proper confidentiality standards by not including the incident report in the medical record. A nurse enters the room of an adolescent client and finds them on the floor The nurse should not atempt to insert anything into the client's mouth or nose during the seizure, but rather provide oxygen by nasal cannula after the seizure if needed. qkl ckoah iaujauj zkmzzn djdb taxye bhmimqhc lajup eunw ynhdwi