28. A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps) (ORDERED RESPONSE)
Transport the client to another area of the nursing unit.
Activate the facility’s fire alarm system.
Use the unit’s fire extinguisher to attempt to put out the fire.
Close all nearby windows and doors.
The Correct Answer is A,B,D,C
A. The first priority is to rescue any individuals in immediate danger. Moving the client ensures their safety before addressing the fire. Delaying this step could expose the client to smoke inhalation or burns.
B. Once the client is safe, the nurse must activate the fire alarm system. This alerts the rest of the facility and triggers the emergency response protocol. Early alarm activation helps prevent the fire from spreading further.
C. Attempting to extinguish the fire comes only after other safety measures. If the fire is small and controllable, using a fire extinguisher may prevent escalation. However, it must only be attempted when it is safe to do so.
D. Closing nearby windows and doors helps contain the fire to one area. This reduces oxygen flow and slows the spread of fire and smoke throughout the unit. Containment is a key step in minimizing damage and injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Ensure the units of the desired dose and available dose are the same.
- Convert milligrams (mg) to micrograms (mcg).
Available dose = 0.025 mg/tablet
1mg=1000mcg
Availabledoseinmcg/tablet =0.025mg/tablet×1000mcg/mg
=25mcg/tablet
Desired dose = 50 mcg.
- Calculate the number of tablets to administer.
Number of tablets = Desired dose (mcg) / Available dose (mcg/tablet)
= 50 mcg / 25 mcg/tablet
= 2 tablets.
Correct Answer is A
Explanation
A. Evaluate the client's ability to help with repositioning: Assessing the client’s strength, coordination, and cognitive status is essential to ensure safety and determine the level of assistance required. This reduces the risk of injury to both the client and the nurse during movement.
B. Discuss the client's preferences for determining a repositioning schedule: While respecting the client’s preferences is important, repositioning must follow clinical guidelines (e.g., every 2 hours) to prevent complications like pressure injuries, regardless of patient preference.
C. Reposition the client without the use of assistive devices: Stroke patients often have limited mobility and muscle weakness. Assistive devices such as slide sheets or lifts are necessary to protect the client's safety and prevent strain or injury to caregivers.
D. Raise the side rails on both sides of the client's bed during resting: Raising both side rails may be considered a restraint and can increase the risk of injury if the client attempts to climb over them. Use of side rails should be based on facility policy and individual client needs.
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