A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Pull the fire alarm.

Extinguish the fire.

Confine the fire.

Rescue the clients.

Answer and Explanation

The Correct Answer is D,A,C,B

A: Pulling the fire alarm is essential to alert others to the fire and initiate the emergency response. However, it should follow the immediate rescue of clients.

B: Extinguishing the fire is important but should be done after ensuring the safety of clients and confining the fire.

C: Confining the fire helps prevent it from spreading and should be done after pulling the fire alarm.

D: Rescuing the clients is the first priority to ensure their safety. Clients should be moved to a safe area away from the fire.

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Correct Answer is B

Explanation

A: Restraining the client during a seizure is not recommended. It can cause injury to both the client and the person attempting to restrain them.

B: Moving objects away from the client is correct. This helps prevent injury by ensuring that the client does not hit or knock over objects during the seizure.

C: Placing the client on his back is not recommended. The client should be placed on their side to maintain an open airway and prevent aspiration.

D: Inserting a padded tongue blade into the client’s mouth is outdated and dangerous. It can cause injury to the client’s mouth and teeth. The focus should be on ensuring the client’s safety and maintaining an open airway.

A. A client who has lactose intolerance B. A client who has had a cerebrovascular accident C. A client who has had prolonged diarrhea D. A client who has had trauma to the head and neck E. A client who is 4 hours postoperative following a leg amputation with general anesthesia

Correct Answer is ["B","D","E"]

Explanation

A: A client with lactose intolerance does not have an increased risk of aspiration while eating. Lactose intolerance affects the digestive system, causing symptoms like bloating and diarrhea when consuming dairy products, but it does not impact swallowing.

B: A client who has had a cerebrovascular accident (CVA) or stroke is at increased risk of aspiration. Strokes can affect the muscles involved in swallowing, leading to dysphagia (difficulty swallowing) and increasing the risk of food or liquid entering the airway.

C: A client who has had prolonged diarrhea is not typically at increased risk of aspiration. Diarrhea affects the gastrointestinal system but does not directly impact the swallowing mechanism.

D: A client who has had trauma to the head and neck is at increased risk of aspiration. Such trauma can damage the structures involved in swallowing, leading to dysphagia and a higher likelihood of aspiration.

E: A client who is 4 hours postoperative following a leg amputation with general anesthesia is at increased risk of aspiration. General anesthesia can depress the gag reflex and swallowing function, making it easier for food or liquid to enter the airway during the immediate postoperative period.

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A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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