A nurse enters a client’s room and finds the client’s gown is on fire. Which is the nurse’s priority action?

Close the window and remove the client’s oxygen.

Sound the fire alarm and activate the emergency response system.

Cover the client with a blanket to smother the flames.

Remove the client from the room and close the door.

Answer and Explanation

The Correct Answer is C

This is the priority action because it follows the RACE acronym for fire safety: Rescue, Alarm, Contain, Extinguish. The nurse should first rescue the client from immediate danger by smothering the flames with a blanket.

This will also help contain the fire and prevent it from spreading.

Choice A is wrong because closing the window and removing the client’s oxygen will not put out the fire.

Oxygen is not flammable, but it can make a fire burn faster and hotter. Removing the oxygen source may help reduce the intensity of the fire, but it will not extinguish it.

Choice B is wrong because sounding the fire alarm and activating the emergency response system are important steps, but they are not the priority. The nurse should first ensure the client’s safety before alerting others and calling for help.

Choice D is wrong because removing the client from the room and closing the door may expose the client to more harm and make the fire worse.

The nurse should not move the client unless it is absolutely necessary, as this may cause further injury or infection. Closing the door may create a backdraft, which is a sudden explosion of fire caused by oxygen rushing into an enclosed space.

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Correct Answer is C

Explanation

This is because furosemide is a diuretic that makes you pee more and lose water and electrolytes such as potassium and sodium.

Therefore, you should avoid foods that are high in sodium or potassium, such as bananas, oranges, cranberries, and bagels with cream cheese.

You should also drink plenty of fluids to prevent dehydration.

Choice A is wrong because oatmeal with a banana, milk, and orange juice contains too much potassium, which can cause irregular heartbeat or muscle weakness when taking furosemide.

Choice B is wrong because blueberry muffins, cranberry juice, and herbal tea contain too much sodium and sugar, which can raise your blood pressure and worsen your heart failure.

Choice D is wrong because a bagel with low-fat cream cheese and decaffeinated coffee contains too much sodium and caffeine, which can cause fluid retention and increase your heart rate.

Normal ranges for potassium are 3.5 to 5.0 mmol/L and for sodium are 135 to 145 mmol/L.

You should monitor your electrolyte levels regularly when taking furosemide.

A. Weigh the client. B. Observe skin turgor. C. Ask client about falls. D. Obtain blood pressure. E. Obtain blood sugar.

Correct Answer is ["A","E"]

Explanation

Olanzapine is an antipsychotic drug that can cause weight gain and increased blood sugar as common side effects.

Therefore, the nurse should monitor the client’s weight and blood sugar regularly to prevent complications such as obesity and diabetes.

Choice B is wrong because olanzapine does not affect skin turgor, which is a measure of hydration status.

Choice C is wrong because olanzapine does not cause falls, although it may cause dizziness or unsteadiness as side effect.

Choice D is wrong because olanzapine does not cause significant changes in blood pressure, although it may cause orthostatic hypotension (a drop in blood pressure when standing up) as a side effect.

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A nurse enters a client’s room and finds the client’s gown is on fire. Which is the nurse’s priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with congestive heart failure takes furosemide daily. Which breakfast choice should a nurse suggest for this client?

Correct Answer is C

Explanation

A client is prescribed olanzapine for schizophrenia. How will the nurse monitor the client for adverse side effects? (Select all that apply).

Correct Answer is ["A","E"]

Explanation

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