QUESTION IMAGE
Question
a nurse enters a clients room and finds the client lying on the floor at the bedside. the client states, \i fell because no one would help me to the bathroom, but i think i can get up okay.\ which of the following actions by the nurse is appropriate? report the clients fall to the facility administrator. place an incident report in the clients medical record. obtain a wheelchair and assist the client back to bed. push the clients call button and request assistance.
When a client falls, safety is a priority. The nurse should not move the client without proper assistance to prevent further injury. Pushing the call button and requesting assistance ensures that there are enough people to safely help the client. Reporting to the facility administrator (first option) is not the immediate action. Incident reports (second option) are usually placed separately, not in the medical record. Obtaining a wheelchair (third option) without assessing and having help may cause more harm.
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Push the client's call button and request assistance.