Nurse R has just entered the hospital room of an 84-year-old female patient after hearing a crash and has found the patient lying on the floor of the room beside her overturned commode. How should the nurse best respond to this situation?
A) Initiate a code.
B) Assist the patient to a sitting position for an assessment.
C) Leave the patient on the floor until her status is determined.
D) Position a sling for a mechanical lift under the patient.
C
Feedback:
Patients who have fallen should be left in place until their health status can be determined. A fall in and of itself does not constitute a need for a code, though the patient's cardiac or respiratory status may require it.
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