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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A capillary refill time of 3 seconds is slightly prolonged but not as concerning as other symptoms. Monitoring is warranted, but it is not an immediate priority.
Choice B rationale
Cool fingers can indicate reduced circulation, but it requires further assessment to determine its significance. Immediate attention is needed if accompanied by other severe symptoms.
Choice C rationale
Severe itching can be uncomfortable and may indicate skin irritation, but it is not typically a medical emergency.
Choice D rationale
Increased pain at the fracture site can indicate complications such as compartment syndrome, which requires immediate medical intervention to prevent permanent damage.
Correct Answer is B
Explanation
Choice A rationale
Isolating the client in their room is not necessary for managing GERD. Isolation measures are typically used for contagious diseases, not for GERD, which is a non-infectious condition.
Choice B rationale
Encouraging the client to ambulate with a staff member helps promote gastrointestinal motility and reduce the risk of reflux. Physical activity can aid in digestion and reduce GERD symptoms.
Choice C rationale
Trazodone is an antidepressant and is not typically prescribed for managing GERD. It is not relevant to the care plan for a client with GERD.
Choice D rationale
Applying bilateral wrist restraints is not indicated for GERD management. Restraints are used for patients who pose a risk to themselves or others, not for those with GERD. .
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