A nurse enters a client's room and finds the client lying on the floor near the bathroom door. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.
- 1Assess the client for any physical injuries and obtain vital signs
- 2Call for assistance to safely transfer the client back to bed
- 3Notify the primary healthcare provider about the client's fall
- 4Complete an objective facility incident report
Answer
The correct sequence is to first assess the client for injuries, then obtain help to move the client safely back to bed, notify the provider, and finally complete the administrative incident report.
The nursing process dictates that assessment must always come first. By assessing the client immediately on the floor, the nurse ensures it is safe to move them. Getting assistance guarantees a safe transfer. Provider notification follows securing the patient to manage any medical consequences. Finally, the incident report is an administrative duty that concludes the post-fall protocol.
Step-by-Step Solution
Key Concept
Post-Fall Management and Nursing Prioritization