While walking in the hall a client suddenly complains of dizziness. Which action by the nurse is the priority?
1. Escorting the client back to the room and into bed
2. Calling for help to escort the client back to the room
3. Assisting the client to sit on the nearest chair with the head between the legs and go find assistance
4. Assisting the client to a horizontal position on the floor if no chair is available
4
Rationale 1: Attempting to escort the client back to the room could result in injury if the client loses consciousness.
Rationale 2: Attempting to escort the client back to the room could result in injury if the client loses consciousness.
Rationale 3: The client should be either seated in a chair, if available, but the nurse should not leave the client unattended.
Rationale 4: The client should be assisted to a horizontal position on the floor, and the nurse must stay with the client.
Global Rationale: The client should be either seated in a chair, if available, or assisted to a horizontal position on the floor, and the nurse must stay with the client. Attempting to escort the client back to the room could result in injury if the client loses consciousness.
You might also like to view...
What is the most important action to take after giving a patient a newly prescribed drug for hypertension?
a. Teach the patient to measure his or her pulse. b. Check the patient's blood pressure an hour later. c. Ask the patient whether any other family members also have hypertension. d. Ask the patient whether he or she has ever taken a drug for hypertension in the past.
The charge nurse observes a newly hired nurse performing all the following interventions for a patient who has just undergone right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene?
a. The nurse leaves the eye shield in place. b. The nurse encourages the patient to cough. c. The nurse elevates the patient's head to 45 degrees. d. The nurse applies corticosteroid drops to the right eye.
Which substance do adolescent athletes sometimes take in mega doses because they believe it will increase their athletic abilities?
A) Amphetamines B) Anabolic steroids C) Cocaine D) Hallucinogens
The first psychiatric hospital in the United States was built in 1773 in:
1. Boston, Massachusetts 2. Philadelphia, Pennsylvania 3. Williamsburg, Virginia 4. Hartford, Connecticut