During a comprehensive physical assessment, the nurse instructs the patient to stand still with the eyes closed. After a few seconds, the patient begins to sway and the nurse guides the patient into the chair. How does the nurse document this finding?
- NCLEX Practice
- Categories
- Reduction of Risk Potential
- View Question
- Category: Reduction of Risk Potential
- Difficulty: 8
Want help? View the answer with rationale.
Additional Reduction of Risk Potential Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 7
The 71-year-old patient with a history of hypertension, hypercholesterolemia, and type 2 diabetes mellitus is brought to the emergency department 3 hours after exhibiting right-sided facial weakness, drooping of the right eye, and slurring of the words. Appendicular tone is normal and the patient has no issues walking or standing from a sitting position. The nurse prepares the patient for which intervention first?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
The nurse is observing the student nurse preparing a 6-year-old for the insertion of an intravenous catheter. Which statement by the student nurse prompts the nurse to intervene?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
0