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A charge nurse has reviewed fire safety procedures with staff members. Which of the following statements by a staff member indicates an understanding of the last action they should take?

A.

"I should close all doors and windows on the unit."

B.

"I should evacuate clients who are in immediate danger."

C.

"I should activate the facility's fire alarm system."

D.

"I should extinguish small fires if it is safe to do so."

Answer and Explanation

The Correct Answer is D

A. "I should close all doors and windows on the unit." – 
This action is part of the "C" (Confine) step, which should be done before attempting to extinguish the fire.
B. "I should evacuate clients who are in immediate danger." – 
Rescuing clients is the first step and should be done immediately.
C. "I should activate the facility's fire alarm system." – 
Activating the alarm is the second step after rescuing clients.
D. "I should extinguish small fires if it is safe to do so." – 
Extinguishing the fire is the last action in the fire safety protocol and should only be attempted if the fire is small and controllable.


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Related Questions

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The first client the nurse should assess is Client 3 (Pulmonary Edema) followed by Client 1 (Hip Fracture).

Rationale:

Client 3 (Pulmonary Edema) – Highest Priority:

    1. Pulmonary edema is a life-threatening condition that can impair oxygenation.
    2. The client has a history of congestive heart failure (CHF) and a chest x-ray confirming pulmonary edema.
    3. Immediate assessment is required to evaluate for respiratory distress, oxygenation status, and potential need for diuretics or oxygen therapy.

Client 1 (Hip Fracture) – Second Priority:

    1. The x-ray confirms a fractured femoral neck, which can cause severe pain, bleeding, and immobility.
    2. The nurse must assess for circulation, sensation, and movement (CSM) of the affected limb and manage pain.
    3. While this is urgent, it is not as immediately life-threatening as pulmonary edema.

Priority Order (Using ABCs & Maslow’s Hierarchy):

  1. Client 3 – Pulmonary Edema (Airway/Breathing concern)
    2. Client 1 – Hip Fracture (Risk for bleeding, pain, mobility issues)
    3. Client 4 – Low Potassium (Risk for cardiac arrhythmias, needs electrolyte management)
    4. Client 6 – Poor Diabetes Control (HbA1c 9%, requires education & glucose monitoring)
    5. Client 5 – Malnutrition (Prealbumin 12 mg/dL, needs nutrition support for wound healing)
    6. Client 2 – Hyperlipidemia (Not an immediate concern, requires long-term management)

Correct Answer is C

Explanation

A. A fire extinguisher is kept in the kitchen This is a safe and recommended practice, as the kitchen is a common area where fires may occur.
B. An electrical ground plug is present Ground plugs help prevent electrical shock and ensure safety, so no intervention is needed.
C. The client's oxygen tanks are stored on their side Oxygen tanks should always be stored upright and secured to prevent leaks or potential combustion. Storing them on their side increases the risk of damage to the tank or regulator, which can be hazardous.
D. The client's walking cane has a rubber tip A rubber tip provides stability and prevents slipping, making it a safe practice.

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