A patient's plan of care includes the goal of increasing mobility this shift.As the patient is ambulating to the bathroom at the beginning of the shift,the patient suffers a fall.How should the nurse first revise the plan of care?

A) Asking physiotherapy to assist the patient because of the new injuries.
B) Disregarding all previous diagnoses and establishing a new plan of care.
C) Reassessing the patient.
D) Setting new priorities for the patient.

Question

Enyis Cruz-Marquez · Accepted Answer

Final Answer : C, Explanation :  The nurse needs to reassess the patient after any type of change in health status.The nursing process is dynamic and ongoing.Asking physiotherapy to assist the patient is premature before the patient is reassessed and before prescriber orders have been made.The nurse may not need to disregard all previous diagnoses.Some diagnoses may still apply,but the patient needs to be reassessed first.Setting new priorities is not recommended before assessment and establishing diagnoses.

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