Practice Quiz

NCLEX-PN

Category - Safety

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A nurse is transferring an agitated 70-year-old client with Alzheimer’s disease to a new room in the unit. The nurse should first:
  1. Orient the client to the unit
  2. Take baseline vital signs and give medications
  3. Ensure safety by raising the side rails
  4. Take the client’s health history
Explanation
Answer: C - The nurse must first ensure the client’s safety by raising the side rails. Orienting the client to the room seems futile while the client is agitated; it would be better to orient the client to the room and unit when the client is calm. The RN does the health history and initial assessment.
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