A nurse enters a client's room and sees smoke coming from the client's trash can.
Which of the following actions should the nurse take first?
Confine the fire by closing doors and windows.
Activate the fire alarm system.
Extinguish the fire if possible.
Rescue the client from immediate danger.
The Correct Answer is D
Choice A rationale:
Confine the fire by closing doors and windows. While confining the fire is important, the nurse's first priority should be ensuring the safety of the client. Closing doors and windows may help prevent the fire from spreading, but it does not address the immediate danger to the client.
Choice B rationale:
Activate the fire alarm system. Activating the fire alarm is a crucial step to alert other staff members, patients, and visitors about the fire. However, it is not the first action the nurse should take. Ensuring the safety of the client should be the top priority.
Choice C rationale:
Extinguish the fire if possible. Attempting to extinguish the fire can be dangerous for the nurse and may waste precious time. The nurse's safety and the client's safety should be the primary concern. Trying to put out the fire before ensuring the client's safety is not the best course of action.
Choice D rationale:
Rescue the client from immediate danger. This is the correct answer because the nurse's first priority in a fire emergency is to ensure the safety of the client. Rescuing the client from immediate danger should be done before any other actions are taken. The nurse should assess the situation, help the client to safety, and then notify others about the fire and activate the alarm system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Superior means more toward the head or above another structure. In anatomical terms, superior refers to a structure being closer to the head or higher than another structure in the body. For example, the head is superior to the neck because it is above the neck.
Choice B rationale:
Medial refers to the middle or near the middle of the body. It is used to describe structures that are closer to the midline of the body. For example, the nose is medial to the eyes because it is closer to the midline of the face.
Choice C rationale:
Ventral refers to the front or belly side of the body. It is opposite to dorsal, which refers to the back side of the body. Ventral structures are those that are located on the front side of the body, like the chest and abdomen.
Choice D rationale:
Caudal means toward the tail or inferior end of the body. It is opposite to superior and refers to structures that are located below or toward the tail end of the body. For example, the feet are caudal to the head because they are below the head.
Correct Answer is D
Explanation
Choice D rationale:
When preparing to open a sterile pack, the nurse must touch only the inner surface of the inner wrapper to maintain sterility. This is a fundamental principle of aseptic technique. Sterile items should be handled with care to prevent contamination. By touching only the inner surface of the inner wrapper, the nurse ensures that the contents of the pack remain sterile and safe for use in medical procedures. Any contact with the outer surface or other non-sterile items can compromise the sterility of the contents.
Choice A rationale:
Placing the sterile pack on a clean surface is a good practice but does not ensure the maintenance of sterility. Sterile items should be placed on a sterile surface or field to prevent contamination. Placing the pack on a clean surface may still expose it to potential contaminants, compromising its sterility.
Choice B rationale:
Turning the pack so that the first flap faces the nurse's body is incorrect. The first flap should be opened away from the nurse to avoid the risk of contamination. By opening the flap away from the nurse, any potential contaminants in the air are less likely to come into contact with the sterile contents.
Choice C rationale:
Opening the right-side flap first is not a standard practice for opening a sterile pack. The choice of which side to open first may vary based on individual preference or the design of the packaging. The key factor is to maintain the sterility of the contents by handling the pack appropriately, as mentioned in choice D.
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