A fire is found in a client's room during a routine medication pass. What is the nurse's first action?
Activate the fire alarm.
Contain the fire.
Notify the supervisor.
Remove the client from the room.
The Correct Answer is D
The nurse’s first action when a fire is discovered in a client’s room is to evacuate any clients or visitors in immediate danger12.
This is because the safety of the clients and visitors is the top priority.
Choice A is not the correct answer because activating the fire alarm is not the first action that should be taken.
Choice B is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.
Choice C is not the correct answer because notifying the supervisor is not the first action that should be taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Unattended pools pose the greatest danger to toddlers because they can easily drown if they fall in and are not supervised.
Choice A is incorrect because mistletoe tightly secured to the ceiling is unlikely to pose a danger to toddlers.
Choice B is incorrect because medication locked in a cabinet is unlikely to pose a danger to toddlers as long as it remains locked and out of reach.
Choice C is incorrect because large toys with large parts are unlikely to pose a danger to toddlers as long as they are age-appropriate and do not have small parts that can be swallowed.
Correct Answer is B
Explanation
Temperature 97.0°F; pulse 54 bpm; respirations 14 breaths/minute; blood pressure 196/114 mmHg.
This set of vital signs is cause for concern because the blood pressure is significantly elevated.
A blood pressure reading of 196/114 mmHg is considered a hypertensive crisis and requires immediate medical attention.
Choice A) Temperature 96.9°F; pulse 100 bpm; respirations 20 breaths/minute; blood pressure 120/80 mmHg is within normal limits for an adult.
Choice C) Temperature 98.6°F; pulse 60 bpm; respirations 14 breaths/minute; blood pressure 110/66 mmHg is also within normal limits for an adult.
Choice D) Temperature 99°F; pulse 72 bpm; respirations 16 breaths/minute; blood pressure 100/60 mmHg is slightly elevated but not cause for immediate concern.
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