A nurse enters a client's room and discovers a fire in the trash can. After removing the client from the room, which of the following actions should the nurse take next?

Pull the nearest fire alarm.

Use an extinguisher to put out the fire.

Shut the doors of all client rooms.

Turn off sources of oxygen.

Answer and Explanation

The Correct Answer is A

A. Pull the nearest fire alarm:
Following the RACE sequence (Rescue, Alarm, Contain, Extinguish), after rescuing the client, the next step is to activate the fire alarm system to alert others and initiate the fire response plan.

B. Use an extinguisher to put out the fire:
Extinguishing is done later in the sequence after raising the alarm and containing the fire.

C. Shut the doors of all client rooms:
Containment (closing doors) occurs after sounding the alarm.

D. Turn off sources of oxygen:
Turning off oxygen can help reduce fire risk but is not the immediate next step after rescue - alerting others comes first to ensure coordinated emergency response.

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Correct Answer is B

Explanation

A. Perform sterile dressing changes:
This is a sterile procedure and requires nursing skill; it cannot be delegated to APs.

B. Help the client complete the dietary menu:
Assisting with menu selection is within an AP’s scope of practice and does not require nursing judgment.

C. Ask the client about allergies:
Collecting health history is the nurse’s responsibility, not the AP’s.

D. Demonstrate the use of crutches:
Teaching and demonstrating require nursing knowledge and assessment skills and cannot be delegated to APs.

A. Cleanses in the direction from the perineum to the rectum B. Wipes the catheter from the urethral meatus down toward the tubing C. Uses separate sections of the washcloth to cleanse each area D. Washes the client's labia minora before the labia majora

Correct Answer is D

Explanation

A. Cleanses in the direction from the perineum to the rectum:
This is the correct direction (front to back) to prevent fecal contamination of the urinary tract. No intervention needed.

B. Wipes the catheter from the urethral meatus down toward the tubing:
This is correct technique to remove microorganisms away from the urinary meatus. No intervention needed.

C. Uses separate sections of the washcloth to cleanse each area:
This is correct to prevent cross-contamination. No intervention needed.

D. Washes the client's labia minora before the labia majora:
The labia majora should be cleansed before the labia minora to prevent contamination of the inner structures with organisms from the outer structures.

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A nurse enters a client's room and discovers a fire in the trash can. After removing the client from the room, which of the following actions should the nurse take next?

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