A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first?
A client who is confused and restrained for safety
A client who is 1-day postoperative following thoracic surgery and has a chest tube
A client who is receiving IV chemotherapy and is ambulatory
A client who is in Buck's traction for a left hip fracture
The Correct Answer is C
A. A confused and restrained client requires assistance and monitoring, which may delay evacuation.
B. A post-op client with a chest tube is not stable for quick evacuation without careful preparation and equipment.
C. A client receiving IV chemotherapy and is ambulatory – Yes. This client is stable and mobile, making them the highest priority for evacuation because they can move with minimal assistance.
D. A client in Buck’s traction is immobile and would require significant help and coordination to evacuate safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Routine antiseptic cleaning of the periurethral area is not recommended; cleansing with soap and water is sufficient.
B.Indwelling catheter use should be limited to the shortest duration necessary, but a specific time limit like 4 days is not a standard protocol; clinical judgment guides removal.
C.Maintaining a closed urinary drainage system with secure connections prevents contamination and reduces UTI risk.
D.Routine catheter irrigation is not recommended as it can introduce infection and is only done when clinically indicated.
Correct Answer is A
Explanation
A. The first step in the quality improvement process is to assessthe problem by identifying possible causes or contributing factors. This ensures that any interventions are targeted and effective.
B.Establishing a control criteria standard is part of setting benchmarks but comes after the problem is clearly understood.
C.Creating a plan is a later step, done afterassessment and analysis.
D.Analyzing data is important, but it follows the identification of what specific factors should be evaluated. Identifying contributing factors comes first.
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