A nurse enters a client's room and sees that ashes from a cigarette are beginning to ignite trash in the wastebasket. What actions should the nurse take first?

Extinguish the fire if possible.

Rescue the client from immediate danger.

Activate the fire alarm system.

Confine the fire by closing doors and windows.

Answer and Explanation

The Correct Answer is B

The first action the nurse should take in this situation is to rescue the client from immediate danger. This means ensuring that the client is safely removed from the room and away from the fire. The safety of the client is the top priority in this situation. Once the client is safe, the nurse can then take further actions such as activating the fire alarm system and attempting to extinguish the fire if possible.

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Correct Answer is A

Explanation

A clear liquid diet consists of foods and ﬂuids that are clear and liquid at room temperature. This includes items such as Jell-O, carbonated beverages, and apple juice. These foods and ﬂuids are easily digested and leave no residue in the intestinal tract, making them appropriate for certain medical conditions or procedures.

A. The client will perform four to five isometric squeezes for 5 to 10 seconds. B. The client will empty her bladder completely each time she voids. C. The client will improve her incontinence within one month. D. The client will stop the ﬂow of urine when voiding.

Correct Answer is A

Explanation

Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing, sneezing, or exercising. It is often caused by weakness of the pelvic ﬂoor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes, also known as Kegel exercises, can help strengthen the pelvic ﬂoor muscles and improve sphincter competence. This can help reduce or prevent episodes of incontinence.

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A nurse enters a client's room and sees that ashes from a cigarette are beginning to ignite trash in the wastebasket. What actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed a clear liquid diet. What food or ﬂuids will be served?

Correct Answer is A

Explanation

The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

Correct Answer is A

Explanation

The nurse manager has determined that a new staﬀ nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform? Select all that apply.

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