When the nurse finds that a patient has fallen, the first intervention should be to:
1. have the patient to stand up.
2. document the fall according to agency policy.
3. remove or correct the cause of the fall.
4. assess the circumstances of the fall and any injuries sustained.
4
The first implementation should be to assess what happened and whether there are any inju-ries, and then document and correct the cause.
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A community health nurse is devoting the day to being a manager. Which of the following activities are part of this role? Select all that apply
A) Orienting three new community health nurses in the agency B) Attending a strategy meeting for a new service the community will be offering C) Working with a team to direct a smoking cessation program D) Investigating an outbreak of salmonella in the community E) Tabulating the findings of a study exploring immunization practices among teens F) Reviewing staff evaluations to assist with planning future in-services
A hospitalized patient complains of bilateral leg pain and asks the nurse to massage her legs. One calf is noticeably larger than the other and is warm and slightly reddened. What action by the nurse is best?
a. Only massage the leg with normal assessment findings. b. Massage the front of both legs gently, and avoid the posterior surfaces. c. Perform a Homan's test to both legs prior to massaging either of them. d. Educate the patient on why a massage would be contraindicated.
A client sustained multiple fractures in a motor vehicle accident. The nurse determines that the client is at a high risk for osteomyelitis due to which type of fracture?
A) Avulsion B) Open C) Comminuted D) Depression
The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. What response by the nurse would best reassure this patient?
A) "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies." B) "These symptoms are part of your disease and can't be helped." C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy." D) "This is a good sign. It means that only the cancer cells are dying."