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A nurse is responding to a car light and finds a client laying on the bathroom floor. Which of the following actions should the nurse take first?

1) Check the client's vital signs
2) Call for emergency medical assistance
3) Assess the client's level of consciousness
4) Move the client to a safer location

1 Answer

2 votes

Final answer:

The nurse should first assess the client's level of consciousness when finding them on the bathroom floor, as it is the most immediate indicator of their neurological function and can determine the urgency of the situation.

Step-by-step explanation:

When a nurse finds a client laying on the bathroom floor, the first action they should take is to assess the client's level of consciousness. This initial assessment provides immediate information on the client's neurological function and helps determine the urgency of the situation. It is essential to quickly establish if the client is responsive or requires immediate medical assistance.

Once consciousness is assessed, subsequent steps should include calling for emergency medical help, checking the client's vital signs, and considering if it's safe and necessary to move the client to a safer location. However, these steps follow after ensuring that the client's level of consciousness is addressed, which may indicate a life-threatening condition such as a stroke or traumatic injury to the nervous system.

Rapid assessment of neurological function is crucial in an emergency situation, as it can indicate the severity of the condition and guide the medical response. For instance, in a suspected stroke, knowing which areas of the CNS are affected can help healthcare providers target their interventions more effectively. Immediate and appropriate actions based on this assessment are vital for the patient's recovery.

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