A client on the oncology unit calls the nurse to report a fire coming from an electrical socket. Which actions should the nurse take? Select All That Apply.
Pull the fire alarm
Instruct a UAP to get a Class A fire extinguisher
Evacuate the client from the room.
Use a Class C fire extinguisher to put out the fire
Shut off the oxygen supply to the room
Correct Answer : A,C,E
Electrical fire safety management in healthcare settings follows RACE (Rescue, Alarm, Contain, Extinguish) and PASS (Pull, Aim, Squeeze, Sweep) principles, prioritizing rapid patient removal from danger, activation of emergency response systems, and control of electrical ignition sources to prevent fire spread and smoke inhalation injury.
Rationale:
A. This action aligns with emergency activation protocol, initiating facility-wide fire response systems. Pulling the alarm ensures rapid mobilization of fire response teams and containment procedures. It is a critical first-line step in RACE protocol implementation.
B. A Class A extinguisher is used for ordinary combustibles like paper and fabric, not electrical fires. Electrical fires require Class C extinguishers to prevent electrocution risk. Directing inappropriate equipment use increases hazard potential.
C. This action reflects patient rescue priority, the first step in RACE. Immediate evacuation from the source of fire prevents smoke inhalation, thermal injury, and exposure to electrical hazards. It is the highest priority nursing action in fire emergencies.
D. This action is unsafe because Class C extinguishers are appropriate only when fire is small and controlled, and electrical source is confirmed. However, patient rescue and alarm activation must occur first before attempting fire suppression.
E. This action demonstrates containment of ignition source, specifically oxygen which supports combustion and accelerates fire spread. Turning off oxygen reduces fire intensity and prevents rapid escalation, especially in high-risk oncology environments with oxygen therapy use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.6"]
Explanation
Step 1: Convert weight to kilograms
Weight (kg) = 33 ÷ 2.2 = 15 kg
Step 2: Calculate total daily dose
Total daily dose = 15 × 30
= 450 mg/day
Step 3: Determine dose per administration
Every 12 hours = 2 doses/day
Dose per dose = 450 ÷ 2
= 225 mg
Step 4: Convert mg to mL
200 mg per 5 mL
225 mg = (225 ÷ 200) × 5
= 1.125 × 5
= 5.625 mL
Step 5: Round to the nearest tenth
≈ 5.6 mL
Correct Answer is A
Explanation
Social determinants of health are non-medical factors that influence health outcomes through effects on healthcare access, environmental exposure, resource availability, and chronic stress burden, with socioeconomic deprivation being the strongest predictor of morbidity, mortality, and health inequities at the population level.
Rationale:
A. Poverty is the most significant social determinant due to its direct impact on healthcare access, nutritional insecurity, housing instability, and chronic psychosocial stress. It is strongly associated with increased infectious disease risk, chronic illness burden, and reduced life expectancy.
B. Transportation access affects appointment adherence and healthcare utilization, but its impact is secondary and often mediated by broader socioeconomic conditions. It does not independently produce the same magnitude of systemic health disparity as poverty.
C. Language barriers contribute to communication challenges, reduced health literacy, and decreased quality of care, but they are typically modifiers of access rather than primary drivers of population-wide morbidity and mortality outcomes.
D. Genetics influence individual disease susceptibility, but they do not account for population-level disparities in health outcomes to the same extent as socioeconomic conditions. Social determinants outweigh genetic factors in overall public health impact.
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