A nurse enters a client's room and sees smoke coming from the client's trash can. Which of the following actions should the nurse take first?

Activate the fire alarm system.

Confine the fire by closing doors and windows.

Rescue the client from immediate danger.

Extinguish the fire if possible.

Answer and Explanation

The Correct Answer is C

A. Activate the fire alarm system: This is important but comes after rescuing anyone in immediate danger.
B. Confine the fire by closing doors and windows: This helps prevent fire spread, but rescue comes first.
C. Rescue the client from immediate danger: According to the RACE acronym for fire response-Rescue, Alarm, Confine, Extinguish-the first step is always to rescue those in immediate danger.
D. Extinguish the fire if possible: Only attempt this if it is safe and others are not in danger.

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Correct Answer is A

Explanation

A. Lower the client to the floor: This action helps prevent injury to both the client and the nurse by controlling the descent.
B. Maintain a narrow base of support: A wide base of support provides greater stability and balance.
C. Provide support by holding the client's arm: Holding the client's arm can lead to injury for both parties. Instead, support the client at the waist or trunk.
D. Lean the client toward the wall: Guiding the client toward a wall could increase injury risk. The nurse should control the fall toward the floor instead.

A. “They'll protect your legs and heels from skin breakdown." B. They'll help keep you warm immediately after your surgery." C. "They'll make it easier for you to do leg exercises after your surgery." D. "They'll improve your circulation to keep blood from pooling in your legs."

Correct Answer is D

Explanation

A. “They'll protect your legs and heels from skin breakdown.": This is a benefit of padding or heel protectors, not the main purpose of antiembolism stockings.
B. “They'll help keep you warm immediately after your surgery.": While they may provide warmth, their primary purpose is to prevent venous stasis.
C. "They'll make it easier for you to do leg exercises after your surgery.": Stockings are not designed to assist movement but rather to promote venous return.
D. "They'll improve your circulation to keep blood from pooling in your legs.": Antiembolism (TED) stockings help prevent deep vein thrombosis (DVT) by promoting venous return and reducing stasis.

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A nurse enters a client's room and sees smoke coming from the client's trash can. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?

Correct Answer is D

Explanation

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