NCLEX-RN

Category - Care Management

While Rick Rescue, RN is caring for a client, the client’s 65-year- old grandfather suddenly loses consciousness and falls to the floor. After assuring his client’s safety, what is Rick Rescue, RN’s next action regarding the grandfather?
  1. Check carotid pulse.
  2. Initiate chest compressions.
  3. Check for responsiveness.
  4. Check for papillary response.
Explanation
Answer: C - Assessing responsiveness is the first step when a client or family member suddenly loses consciousness. Checking responsiveness is critical to prevent injuries related to unnecessary life-saving measures.
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