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 ["A","D","E"]
Explanation
The correct answers are Choice A, Choice D, and Choice E.
Choice A rationale
Antistreptolysin O (ASO) titer is a blood test used to detect antibodies against streptolysin O, a substance produced by group A Streptococcus bacteria. Elevated ASO titers indicate a recent streptococcal infection, which is a common precursor to rheumatic fever.
Choice B rationale
Partial thromboplastin time (PTT) measures the time it takes for blood to clot and is used to evaluate bleeding disorders. It is not relevant for diagnosing rheumatic fever, which is an inflammatory disease.
Choice C rationale
Blood urea nitrogen (BUN) measures kidney function and is not used to diagnose rheumatic fever. Rheumatic fever is diagnosed based on evidence of a preceding streptococcal infection and clinical criteria.
Choice D rationale
Erythrocyte sedimentation rate (ESR) is a blood test that measures inflammation in the body. Elevated ESR levels are one of the minor criteria for diagnosing rheumatic fever, indicating the presence of inflammation.
Choice E rationale
C-reactive protein (CRP) is another marker of inflammation. Elevated CRP levels are also one of the minor criteria for diagnosing rheumatic fever, reflecting the inflammatory response in the body.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
The tumbling E chart is used for visual acuity assessment in children who cannot read letters, such as those who are too young or have language barriers. It involves identifying the direction of the letter “E” in various orientations.
Choice B rationale
Testing the child without glasses before testing with glasses is not the standard procedure for visual acuity assessment. The correct approach is to test with the child’s usual corrective lenses if they have them.
Choice C rationale
The standard distance for visual acuity testing using a chart is 3 meters (10 feet) for children, not 4.6 meters (15 feet)9.
Choice D rationale
Assessing each eye separately first, then both eyes together, is the correct procedure for visual acuity testing. This ensures accurate measurement of each eye’s visual acuity.
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