A nurse in an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse's priority?
Activate the alarm.
Shut the doors and windows of the room.
Move the client to another location.
Attempt to extinguish the fire.
The Correct Answer is C
The correct answer is choice c. Move the client to another location.
Choice A rationale:
Activating the alarm is important, but the immediate priority is to ensure the safety of the client by moving them away from the fire.
Choice B rationale:
Shutting the doors and windows can help contain the fire, but it should be done after ensuring the client is safe.
Choice C rationale:
Moving the client to another location is the priority action to protect them from harm. Ensuring the client’s safety is the first step in any emergency situation.
Choice D rationale:
Attempting to extinguish the fire is important, but it should be done after the client is safely moved to another location.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.
Correct Answer is C
Explanation
A.While insurance coverage is important, it is not a criterion for qualifying for hospice care. Hospice care focuses on providing comfort and support to terminally ill patients, regardless of insurance coverage.
B.Hospice care can be provided in various settings, including the home, hospice facilities, or inpatient units. The need for inpatient care due to a lack of a caregiver is not a criterion for hospice eligibility; rather, hospice focuses on the terminal nature of the illness.
C.Hospice careis a service for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness. People may choose to enroll in hospice care if the treatment is unlikely to be effective or if continuing it has become too burdensome.
D.Choice D states that the client has documentation stating they have less than 12 months to live. However, for hospice care eligibility, the standard criterion is a life expectancy ofsix months or less, as certified by a physician. This is a key distinction, as hospice care focuses on providing comfort and support during the final months of life, rather than extending life expectancy.
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