A nurse sees smoke coming from the central supply room. Which of the following actions should the nurse take first?

Stay close to the ground

Walk to a safe area

Wrap clients in blankets

Close all the doors

Answer and Explanation

The Correct Answer is D

In case of a fire, it is important to contain the smoke and ﬂames by closing all doors . This can help prevent the spread of fire and smoke to other areas of the hospital and provide more time for evacuation. After

closing all doors, the nurse should follow the hospital’s fire safety plan and take further actions as necessary.

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Correct Answer is C

Explanation

Opioid toxicity can cause difficulties with breathing and an opioid overdose can lead to death1. A respiratory rate of 10/min is considered low and could be a sign of opioid toxicity.

A. A client who has haemorrhoids B. A client who had recent oral surgery C. A client who has a coagulation disorder D. A client who is drinking ice water

Correct Answer is A

Explanation

Answer: A

Rationale:

A) A client who has hemorrhoids: An oral temperature is appropriate for this client as there are no contraindications for using the oral route. Hemorrhoids do not affect the accuracy or safety of oral temperature measurement.

B) A client who had recent oral surgery: Oral temperature measurement should be avoided for this client as it may cause discomfort or disrupt the healing process. Alternative routes, such as tympanic or axillary, are more appropriate.

C) A client who has a coagulation disorder: Oral temperature measurement might be risky in clients with coagulation disorders due to the potential for trauma or bleeding from the oral mucosa. A non-invasive method is preferable for safety.

D) A client who is drinking ice water: Drinking ice water can temporarily lower the temperature in the oral cavity, leading to inaccurate readings. The nurse should wait 15–30 minutes before measuring an oral temperature.

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A nurse sees smoke coming from the central supply room. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is teaching a newly licensed nurse about measuring body temperature in clients. Which of the following clients should the nurse instruct to obtain an oral temperature?

Correct Answer is A

Explanation

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

A nurse is teaching a newly licensed nurse about vital signs. Which of the following documentations made by the newly licensed nurse indicates an understanding of the teaching?

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