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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is conducting hourly rounds and finds a client lying on the floor in the bathroom. Which of the following actions should the nurse take first?

    Explanation & Rationale

    A. Assist in revising the plan of care: Revising the care plan is important for preventing future falls, but it is not the immediate priority. The nurse must first assess the client’s physical condition after the fall. B. Check the client for injuries: Assessing for injuries addresses the client’s immediate safety and physical well-being, including potential fractures, head trauma, or internal injuries. This is the first action to determine the need for urgent medical intervention. C. Complete an incident report: Documentation is essential for legal and quality improvement purposes, but it should be completed after the client’s safety and medical needs are addressed. D. Notify the client's provider: The provider should be informed if injuries or complications are present, but notification occurs after assessing the client’s condition to provide accurate information and guidance.

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