CNA Certification (Written Exam)Infection Control and SafetyMedium

A nurse aide is ambulating a resident who begins to complain of sudden weakness and appears unsteady. What is the nurse aide's immediate priority action?

  1. ALower the resident gently to the floor.
  2. BCall for help immediately while supporting the resident.
  3. CAsk the resident if they feel dizzy.
  4. DAttempt to return the resident to their bed as quickly as possible.
Show answer & explanation

Correct answer: A. Lower the resident gently to the floor.

If a resident becomes unsteady and feels weak during ambulation, the immediate priority is to prevent a fall and minimize injury. Lowering the resident gently to the floor in a controlled manner is safer than trying to force them back to bed or waiting for help, which could result in an uncontrolled fall.

Why the other options are wrong

  • B. Calling for help is important, but preventing an uncontrolled fall is the immediate priority.
  • C. Assessing symptoms is important, but the immediate physical safety of preventing a fall takes precedence.
  • D. Attempting to move an unsteady resident quickly can increase the risk of a fall and injury to both resident and aide.

Managing an Imminent Fall

The immediate steps a nurse aide should take if a resident begins to fall or appears to be losing balance during ambulation.

  • Do not try to stop the fall completely if it means injury to yourself or the resident.
  • Gently lower the resident to the floor to control the fall.
  • Protect the resident's head during the descent.
  • Once on the floor, assess for injury and call for help.

Memory trick: When they sway, gently lay; safety first, don't delay.

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