What is the primary action of a nurse when caring for a client who has fallen out of bed?

The primary action of a nurse when caring for a client who has fallen out of bed is to assess if the client is injured. This initial assessment is critical because it helps identify any immediate medical needs the client may have following the fall. The nurse must first ensure the safety and well-being of the client, which involves checking for signs of injury such as fractures, bruising, or changes in vital signs.

Taking this action prioritizes client safety and forms the basis for further interventions. Once the assessment is completed, the nurse can then proceed with other necessary steps, such as reporting the incident, assisting the client back into bed if appropriate, and documenting the fall in the client's chart. However, these actions come after the initial assessment, which is cornerstone to appropriate nursing care in emergency situations.