A nurse is working in a nursing home.
What is the first priority for the nurse in this situation?
Ensure that all patients are moved out of harm’s way.
Remove all flammable materials from the area and extinguish the fire.
Report to the area of the fire and take measures to extinguish and/or contain it, if possible.
Evacuate all patients from the building immediately.
The Correct Answer is A
The correct answer is Choice A.
Choice A rationale
Ensuring that all patients are moved out of harm’s way is the first priority in a nursing home fire situation. This action aligns with the principles of the ABCs of nursing prioritization, where ensuring safety and preventing harm is paramount.
Choice B rationale
Removing all flammable materials from the area and extinguishing the fire is important, but it comes after ensuring the safety of the patients. The primary focus should be on patient safety.
Choice C rationale
Reporting to the area of the fire and taking measures to extinguish and/or contain it, if possible, is a secondary action. The immediate priority is to ensure the safety of the patients.
Choice D rationale
Evacuating all patients from the building immediately is not always feasible or safe. The priority is to move patients out of immediate harm’s way and then proceed with further evacuation if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
An increase in potassium levels is not an indicator of the effectiveness of furosemide, which is a diuretic used to reduce fluid overload.
Choice B rationale
A decrease in peripheral edema indicates that furosemide is effectively reducing fluid retention in the body.
Choice C rationale
A decrease in cardiac output is not a desired effect of furosemide and may indicate worsening heart function.
Choice D rationale
An increase in venous pressure is not an indicator of the effectiveness of furosemide and may suggest fluid overload.
Correct Answer is D
Explanation
Choice A rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. This ensures that the parents are aware of the risks, benefits, and alternatives to the procedure and have given their permission for it to be carried out.
Choice B rationale: Encouraging the parents to inspect toys for easily removable parts is an important preventive measure to avoid future incidents. However, this is not the immediate priority in this emergency situation. The primary focus should be on addressing the current issue, which involves obtaining informed consent for the necessary procedure.
Choice C rationale: Monitoring the child closely for the return of the gag reflex is important to ensure the child’s safety, especially after the procedure. However, this step is relevant after the endoscopy has been performed. The immediate priority is to obtain informed consent to proceed with the endoscopy.
Choice D rationale: Obtaining informed consent is the first priority in this scenario. Before any medical procedure can be performed, it is crucial to ensure that the parents are fully informed about the procedure, its risks, benefits, and alternatives, and have given their permission. This step is essential to respect the parents’ rights and to proceed with the necessary medical intervention safely and legally.
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