Difficulty: Hard

Average Score: 40%

The nurse aide is assisting a client to ambulate and the client begins to fall. The nurse aide SHOULD:

Rationale

Ease the client to the floor.

When a client begins to fall, the safest course of action is to ease them to the floor to minimize the risk of injury. This technique allows the nurse aide to control the descent and protect the client from more severe harm that could result from a sudden or uncontrolled fall.

A (Try to prevent the fall.) YOUR ANSWER

While it is instinctive to want to prevent a fall, attempting to do so can often lead to injury for both the client and the nurse aide. If the client is already falling, trying to catch or stop them may result in the aide losing balance and falling as well, complicating the situation and increasing the risk of injury.

C (Help the client up immediately.) YOUR ANSWER

Assisting the client up immediately after a fall can pose significant risks, particularly if the client has sustained an injury. It is crucial to assess the client for injuries before helping them to their feet, as moving them without proper assessment could worsen any potential injuries.

D (Tell the charge nurse at the end of the shift.) YOUR ANSWER

While reporting the incident to the charge nurse is important, it should not be the primary action taken when a client begins to fall. Immediate response to ensure the client's safety should be prioritized over documentation, as timely intervention can significantly affect the client's health outcomes.

Conclusion

In the event of a client beginning to fall, the nurse aide should prioritize safety by easing the client to the floor. This approach minimizes the risk of injury and allows for proper assessment later. Immediate action is critical, while reporting the incident can follow the initial response, ensuring that both the client’s safety and proper protocol are maintained.

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