A nurse is reinforcing teaching with a client about fire safety in the home. Which of the following instructions should the nurse include in the teaching?

Open windows to allow smoke to escape if a fire occurs.

Store a fire extinguisher away from the stove in the home.

Aim the extinguisher nozzle at the top of the flames if a fire occurs.

Change batteries in home smoke alarms every 2 years.

Answer and Explanation

The Correct Answer is B

A. Opening windows during a fire can increase airflow, which may actually intensify the flames and spread the fire faster. Instead, clients should close doors to contain the fire and smoke, stay low to the ground to avoid inhaling smoke, and focus on evacuating the home safely.

B. Storing the fire extinguisher away from the stove ensures it remains accessible if a fire breaks out on or near the stove. If a fire occurs, the extinguisher should be in a location that is easy to access but away from the immediate fire source to prevent the person from reaching through flames to retrieve it.

C. The correct technique is to aim the nozzle at the base of the flames, where the fuel source is. This helps to smother the fire more effectively, as aiming at the base cuts off the fuel source, whereas aiming at the top would be less effective.

D. The batteries in smoke alarms should generally be changed every 6-12 months to ensure they are functioning properly. Many recommendations also suggest testing alarms monthly and replacing the entire smoke alarm every 10 years.

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Correct Answer is A

Explanation

A. Instruct the client to limit flexion of the hips no further than 100°.For a client who is postoperative following a total hip arthroplasty, hip flexion should generally be limited to 90° or less to avoid dislocation of the hip prosthesis. The instruction to limit flexion to 100° could potentially put the client at risk for dislocation and should be clarified.

B. Perform range-of-motion exercises every 2 hr.This helps prevent stiffness and promotes circulation, although passive range of motion should be performed carefully to avoid excessive hip flexion.

C. Reposition the client every 2 hr.Regular repositioning helps prevent pressure ulcers and other complications, and is a standard postoperative practice.

D. Place an abduction pillow between the legs.An abduction pillow is used to keep the legs apart and prevent dislocation of the hip joint, which is essential after a hip arthroplasty.

A. Docusate sodium 200 mg PO at bedtime B. Meloxicam 15 mg PO daily C. Regular insulin 8 units subcutaneous before meals D. Fentanyl 25 mcg/hr transdermal patch

Correct Answer is C

Explanation

Docusate sodium 200 mg PO at bedtime:

This prescription is clear. It specifies the medication (Docusate sodium), the dose (200 mg), and the time of administration (at bedtime).

Meloxicam 15 mg PO daily:

This prescription is clear. It specifies the medication (Meloxicam), the dose (15 mg), and the frequency (daily).

Regular insulin 8 units subcutaneous before meals:

Regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.

Fentanyl 25 mcg/hr transdermal patch:

Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.

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A nurse is reinforcing teaching with a client about fire safety in the home. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the prescriptions for a client who is postoperative following a total hip arthroplasty. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is A

Explanation

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Correct Answer is C

Explanation

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