Question

A client feels faint on the way to the bathroom. What nursing assessments should be made?

a. Check blood pressure and pulse
b. Assess for urinary retention
c. Administer an antidiuretic
d. Instruct the client to lie down

Answer 1

To assess a fainting client on the way to the bathroom, a nurse should check blood pressure and pulse, assess for urinary retention, and instruct the client to lie down.

Step-by-step explanation:

When a client feels faint on the way to the bathroom, there are several nursing assessments that should be made to determine the cause and provide appropriate care:

• Check blood pressure and pulse: This will help determine if there is a drop in blood pressure or an irregular heart rate, which could contribute to the faint feeling.
• Assess for urinary retention: Urinary retention can cause discomfort and an urgent need to void, which could contribute to the client feeling faint.
• Instruct the client to lie down: Lying down can help improve blood flow to the brain and reduce the risk of fainting.

By conducting these assessments, nurses can gather important information to guide appropriate interventions and ensure the client's safety.