A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy.”. Which of the following actions should the nurse take?

Choice A rationale

Spraying the extinguisher side to side covers the fire more effectively, cutting off oxygen and cooling burning materials. This technique ensures optimal fire suppression and aligns with PASS (Pull, Aim, Squeeze, Sweep) guidelines for extinguisher use.

Choice B rationale

Attempting to extinguish a fire before calling for help delays emergency response, increasing the risk of uncontrolled spread. Priority should be ensuring safety and contacting emergency services immediately to address the situation.

Choice C rationale

Smoke alarm batteries should be changed annually, not every 2 years, to maintain functionality and reduce the risk of failure. Regular battery maintenance ensures early fire detection and improves safety.

Choice D rationale

Class A extinguishers are designed for ordinary combustibles such as wood, paper, and cloth. Electrical fires require Class C extinguishers to safely interrupt electrical conductivity and extinguish flames without causing further hazards.

Choice A rationale

Consulting with the client’s family would delay critical actions in an emergency. Additionally, family members cannot override the legal documentation of the client's wishes, such as a living will. Ethical guidelines prioritize the client's autonomy, but without a written DNR, the nurse should prioritize immediate life-saving efforts.

Choice B rationale

A living will outlines patient preferences, but it is not legally enforceable without a corresponding provider’s order. Complying with it without a written DNR could violate legal and professional standards. The nurse must initiate life-saving actions unless explicitly instructed otherwise by the provider.

Choice C rationale

Without a written DNR, the nurse must take measures to preserve life as per standard resuscitation guidelines. Legal protection applies to actions taken during a cardiac arrest to avoid negligence. This ensures that the client receives immediate care until proper clarification is made.

Choice D rationale

Contacting the provider during a cardiac arrest introduces a delay, increasing the risk of irreversible damage or death. While it is essential to clarify orders, emergency protocol dictates acting promptly to save the client’s life in the absence of clear documentation.