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

Close the doors to the room and to the bathroom.

Activate the fire alarm system.

Assist the client to a nearby common area.

Use a fire extinguisher at the source of the smoke.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Closing the doors can help contain the smoke, but it is not the first action. The priority is to activate the fire alarm to alert the fire department and initiate the building's emergency procedures.

Choice B rationale

Activating the fire alarm system ensures that all occupants are alerted to the fire, and the fire department is notified. This is the first step in managing a fire emergency.

Choice C rationale

Assisting the client to a nearby common area is important for their safety, but it should be done after activating the fire alarm.

Choice D rationale

Using a fire extinguisher may be necessary if the fire is small and contained, but the first priority is to alert others and get professional help on the way.

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Correct Answer is A

Explanation

Choice A rationale

Consuming small, frequent meals helps in managing energy levels and reducing the work of breathing for clients with COPD.

Choice B rationale

Increasing oxygen to 5 liters per minute without proper medical guidance can lead to oxygen toxicity and other complications in COPD patients.

Choice C rationale

Discontinuing prednisone abruptly can lead to adrenal insufficiency and should be tapered off under medical supervision.

Choice D rationale

Decreasing caloric intake can lead to malnutrition, which is detrimental for COPD clients who need adequate nutrition to maintain energy and muscle strength. .

A. The client has ecchymosis around the eyes. B. The client reports ringing in the ears. C. The client has a delayed response to verbal commands. D. The client is unable to remember details of the motor-vehicle crash.

Correct Answer is C

Explanation

Choice C rationale

A delayed response to verbal commands is a sign of increased intracranial pressure, indicating possible brain function impairment due to the pressure.

Choice A rationale

Ecchymosis around the eyes, known as "raccoon eyes," can indicate a basal skull fracture but does not directly indicate increased intracranial pressure.

Choice B rationale

Ringing in the ears, or tinnitus, is not a specific sign of increased intracranial pressure. It is usually related to auditory or vestibular issues.

Choice D rationale

Inability to remember details of the motor-vehicle crash can indicate a concussion or other brain injury but is not solely indicative of increased intracranial pressure. .

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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