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A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps, placing them in the order of performance. Use all the steps.)

Transport the client to another area of the nursing unit.

Activate the facility's fire alarm system.

Close all nearby windows and doors.

Use the unit's fire extinguisher to attempt to put out the fire.

Answer and Explanation

The Correct Answer is A,B,C,D

The correct sequence follows the RACE protocol for fire safety:

A. Transport the client to another area of the nursing unit (R: Rescue). Rescue anyone in immediate danger.

B. Activate the facility's fire alarm system (A: Alarm). Activate the alarm system.

C. Close all nearby windows and doors (C: Contain). Contain the fire by closing doors and windows.

D. Use the unit's fire extinguisher to attempt to put out the fire (E: Extinguish). Extinguish the fire if it is safe to do so.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Apply a transparent dressing to the wound: Incorrect. Transparent dressings are not appropriate for controlling active bleeding.

B. Tie a tourniquet around the leg distal to the wound: Incorrect. A tourniquet should only be used as a last resort if direct pressure fails to control the bleeding.

C. Apply direct pressure to the wound with thick dressing material: Direct pressure is the first-line intervention to control bleeding and promote hemostasis.

D. Irrigate the wound with sterile water: Incorrect. Irrigation is not the priority in an actively bleeding wound; controlling the bleeding is more critical.

A. Inform the client that using pharmacological pain management will not impact the delivery. B. Encourage the client to have the family exit the room when the pain is unbearable. C. Have the client exhale deeper than she inhales to promote adequate ventilation. D. Provide information about the use of hydrotherapy during labor.

Correct Answer is D

Explanation

A. Informing the client about pharmacological pain management contradicts her decision for a natural childbirth.

B. Encouraging family to leave during pain is unnecessary and may reduce support, which is essential for coping during labor.

C. Breathing techniques are helpful, but exhaling deeper than inhaling may not be appropriate for ventilation; rhythmic breathing is typically encouraged.

D. Hydrotherapy (such as warm baths or showers) is a natural pain management technique that can promote relaxation and decrease labor pain.

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A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest?

Correct Answer is D

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