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    Ati lpn med surg musculoskeletal system test proctored exam

    A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. The first action after finding a client on the floor is to assess for injuries and determine the extent of any harm before moving the client. B. Assisting the client back into bed without assessing for injury could worsen a fracture or other trauma; applying restraints is inappropriate and unsafe. C. Sedating the client without assessment is unsafe and not indicated. D. Calling the family before assessing the client does not address the immediate safety and health needs.

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