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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Free Nursing Study Resources

Correct Answer is A

Explanation

A diuretic is a medication that increases the production of urine by the kidneys. This can help reduce swelling (edema) by removing excess ﬂuid from the body. If a client is prescribed a diuretic for swelling of the lower extremities, the nurse should teach the client that the medication will increase their urinary output. This means that the client will need to urinate more frequently and may produce more urine than usual. The color and odor of the urine may also change, but these changes are not directly related to the eﬀect of the medication on urinary output.

A. Explain the procedure to the client if they do not understand. B. Obtain the client's consent. C. Witness the client's signature. D. Explain the risks and benefits of the procedure.

Correct Answer is C

Explanation

This is the primary role of the nurse in the informed consent process. The nurse witnesses the client's signature on the consent form, verifying that the client is signing voluntarily and that they understand the procedure, risks, benefits, and alternatives.

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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 is prescribed a diuretic for swelling of the lower extremities. The nurse should teach the client about the eﬀect of the medication on the client's urinary output.

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for an elective surgical procedure. In order to ensure informed consent, the nurse should take which of the following actions?

Correct Answer is C

Explanation

During a particularly heated staﬀ meeting regarding staﬀ assignments, the nurse manager makes this comment: "When you all can come to a decision, let me know and we'll move on from there." This leader is best identified as which of the following?

A nurse is educating a postoperative client on essential nutrition for healing. Which statement by the client would indicate a need for information?

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings? Select all that apply.

The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.

A nurse is caring for a client in the introductory (orientation) phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase?

A nurse is taking care of a client who just lost her husband to a terminal illness. The client is refusing to believe that the loss is happening. Which of Kubler-Ross's stages of grieving is the client experiencing?