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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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Correct Answer is C

Explanation

A. Provide a tracheostomy tray at the bedside: Incorrect. A tracheostomy tray is not necessary unless the client has a tracheostomy, which is not typically indicated for seizure precautions.

B. Place the client in supine position: Incorrect. The client should be placed on their side to prevent aspiration and promote airway patency during and after a seizure.

C. Insert an IV saline lock: A saline lock is essential in case the client needs emergency medication or fluids, especially during or after a seizure. It allows for quick IV access without continuous infusion.

D. Place a plastic tongue depressor at the client's bedside: Incorrect. A tongue depressor should never be inserted into the mouth during a seizure as it can lead to injury. The priority is to protect the client’s airway and prevent harm.

A. "You should take 600 milligrams of ibuprofen every 8 hours for discomfort during an outbreak." B. "Your baby's cord blood will be tested to determine if she has contracted HSV." C. "You can apply a cortisone cream to the lesions twice each day." D. "You will need to have a cesarean birth if there are any visible lesions."

Correct Answer is D

Explanation

A. Ibuprofen is not recommended during pregnancy, particularly in the third trimester, due to potential risks to the fetus.

B. Testing the baby’s cord blood is not a standard method to detect HSV transmission.

C. Cortisone cream is not typically used to treat HSV lesions.

D. Cesarean birth is recommended if there are active lesions at the time of labor to prevent neonatal transmission.

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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 is implementing seizure precautions for a client who has had a tonic-clonic seizure. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is teaching a client who is pregnant and has genital herpes simplex virus (HSV). Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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