Practice Quiz

NCLEX-RN

Category - Safety

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A charge nurse is making the morning rounds. While passing by one of the client’s rooms, the charge nurse notes that the client is walking barefoot towards the toilet. The client had a hysterectomy four days ago. What is an appropriate intervention made by the charge nurse?
  1. Close the client’s door for privacy.
  2. Assign the LPN to visit the client regularly.
  3. Offer non-skid footwear when the client returns from the toilet.
  4. Call the client’s attention to return to bed and offer a bed pan.
Explanation
Answer: B - The charge nurse should first ensure the safety of the client and then assign one of the staff to visit the client regularly to provide assistance and promote continuity of care. Options A and C are incorrect since they pose a great risk to the client’s safety. Non-skid footwear should be offered as soon as the charge nurse observes the hazardous behavior. Offering a bed pan is inappropriate; the nurse should encourage independence and ambulation to prevent complications of immobility.
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