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The nurse discovers a patient on the floor the

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The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurseassesses the patient and places the patient back in bed. Which action should the nurse takenext?a. Do nothing, no harm has occurred.b. Notify the health care provider.c. Complete an incident report.d. Assess the patient.ANS: BReport immediately to physician or health care provider if the patient sustains a fall or aninjury. The nurse must provide safe care and doing nothing is not safe care. The scenarioindicates the nurse has already assessed the patient. After the patient has stabilized,completing an incident report would be the last step in the process.
When making rounds the nurse observes a purple wristband on a patient's wrist. How will thenurse interpret this finding?
In 2008 the American Hospital Association issued an advisory recommending that hospitalsstandardize wristband colors: red for patient allergies, yellow for fall risk, and purple for donot resuscitate preferences. Purple does not indicate seizures.A nurse reviews the history of a newly admitted patient. Which finding will alert the nursethat the patient is at risk for falls?
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likelyassessing?

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Term
Fall
Professor
N/A
Tags
Health care provider, Vomiting, Medical restraint, Home Health Nurse

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