The nurse walks into a male patient's room and finds him on the floor with his eyes closed. Which should the nurse implement first?

a. Initiate cardiac compressions.
b. Call for a code from the room.
c. Help the patient back into the bed.
d. Verify patient unresponsiveness.


D
The nurse should assess the patient for unresponsiveness by touching him and calling, "Are you okay?" before activating a code. Although unresponsiveness can be caused by many factors, the nurse wants to stimulate the patient and improve breathing first if possible. The nurse avoids in-itiating chest compressions until assessing for a pulse because chest compressions over a beating heart can precipitate arrhythmias. Until the patient's status is assessed, a code should not be ac-tivated. The nurse should not move the patient until the spine is cleared. The nurse is not aware of why he is on the floor; thus he must be treated as though he has a spinal injury until that pos-sibility is eliminated.

Nursing

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When the nurse suspects a co-worker of abusing drugs while working, the nurse should:

a. confront the abuser. b. report observations to a supervisor. c. call the state board of nursing. d. discuss the problem with another co-worker.

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