A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?
Pull the fire alarm panel.
Obtain a fire extinguisher.
Remove the client from the room.
Close the door to the client's room.
The Correct Answer is C
Choice A reason: This is not an appropriate action to take first because pulling the fire alarm panel can alert other staff and personnel about the fire and activate the emergency response system, but it does not address the immediate safety and well-being of the client who is exposed to smoke and flames. The nurse should pull the fire alarm panel after removing the client from the room.
Choice B reason: This is not an appropriate action to take first because obtaining a fire extinguisher can help extinguish or contain the fire and prevent it from spreading to other areas, but it does not address the immediate safety and well-being of the client who is exposed to smoke and flames. The nurse should obtain a fire extinguisher after removing the client from the room.
Choice C reason: This is an appropriate action to take first because removing the client from the room can protect them from smoke inhalation, burns, or injuries and ensure their safety and well-being. The nurse should remove the client from the room as quickly and safely as possible and follow the RACE protocol (Rescue, Alarm, Contain, Extinguish).
Choice D reason: This is not an appropriate action to take first because closing the door to the client's room can help contain the fire and prevent it from spreading to other areas, but it does not address the immediate safety and well-being of the client who is exposed to smoke and flames. The nurse should close the door to the client's room after removing them from the room.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not an expected sensation during injection of the contrast medium because numbness in the fingertips can indicate peripheral nerve damage or ischemia, which are rare but serious complications of cardiac catheterization. The nurse should assess the client's peripheral pulses, capillary refill, and sensation and report any abnormalities.
Choice B reason: This is not an expected sensation during injection of the contrast medium because pain in the jawline can indicate angina or myocardial infarction, which are rare but serious complications of cardiac catheterization. The nurse should monitor the client's vital signs, electrocardiogram, and chest pain and report any changes.
Choice C reason: This is not an expected sensation during injection of the contrast medium because urge to urinate can indicate bladder distension or urinary tract infection, which are unrelated to cardiac catheterization. The nurse should encourage the client to empty their bladder before the procedure and check for urinary retention or dysuria after the procedure.
Choice D reason: This is an expected sensation during injection of the contrast medium because feeling of heat can occur as a result of vasodilation caused by the contrast medium, which increases blood flow to the skin and mucous membranes. The nurse should inform the client that this sensation is normal and temporary and will subside within a few minutes.
Correct Answer is B
Explanation
Choice A reason: This question does not assess the quality of the pain, but the intensity or severity of the pain.
Choice B reason: This question assesses the quality of the pain, which is how the client describes or characterizes the pain, such as sharp, dull, burning, throbbing, etc.
Choice C reason: This question does not assess the quality of the pain, but the presence or absence of pain.
Choice D reason: This question does not assess the quality of the pain, but the consistency or variability of pain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.