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 D

Explanation

Choice A rationale

Chlorhexidine is effective for disinfecting skin and mucous membranes, but it's not the best choice for cleaning blood spills. It is not as effective in breaking down organic material like blood.

Choice B rationale

Isopropyl alcohol is a good disinfectant for skin and surfaces but not ideal for cleaning large spills of blood, as it may not effectively neutralize all blood-borne pathogens. It also evaporates quickly, which limits its effectiveness on large spills.

Choice C rationale

Hydrogen peroxide can be used as a disinfectant and works well on small cuts or wounds. However, it is not the most effective for cleaning up blood spills because it is less effective against a broad range of pathogens.

Choice D rationale

Bleach is the recommended cleaning agent for blood spills because it effectively kills a wide range of pathogens, including HIV. A diluted bleach solution (usually 1 part bleach to 10 parts water) is effective in disinfecting areas contaminated with blood.

A. "I will need to empty the bag every 4 to 6 hours.”. B. "I will use moisturizing soap to clean around the stoma before applying the bag.”. C. "I will cut the wafer opening one-fourth of an inch larger than the stoma.”. D. "I will use a skin sealant before I apply the bag.”. . . .

Correct Answer is C

Explanation

Choice A rationale

Emptying the ileostomy bag every 4 to 6 hours is incorrect as the frequency depends on the individual's output, which can be higher, requiring more frequent emptying.

Choice B rationale

Using moisturizing soap to clean around the stoma is not recommended as it can interfere with the adhesion of the wafer. Mild, non-moisturizing soap should be used instead.

Choice C rationale

Cutting the wafer opening one-fourth of an inch larger than the stoma is correct as it allows for proper fitting and prevents constriction of the stoma, reducing the risk of skin irritation.

Choice D rationale

Using a skin sealant before applying the bag is recommended to protect the skin and improve the adhesion of the ostomy appliance. .

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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?

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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?