A patient, while smoking in the bathroom, disposed of a cigarette into a wastepaper basket, causing it to start smoldering. What should be the nurse’s top priority in this situation?

Activate the fire alarm.

Move any clients in the immediate vicinity.

Use a fire extinguisher to put out the fire.

Close the fire doors on the unit.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Activate the fire alarm. The nurse’s top priority in this situation should be to activate the fire alarm. This action ensures that the entire facility is alerted to the fire, allowing for a coordinated and timely response. Activating the fire alarm initiates the emergency protocols, including evacuation procedures and the arrival of the fire department. This step is crucial because it addresses the safety of all individuals in the facility, not just those in the immediate vicinity of the fire. By activating the fire alarm, the nurse ensures that everyone is aware of the danger and can take appropriate action to protect themselves.

Choice B Reason:

Move any clients in the immediate vicinity. While moving clients in the immediate vicinity is important, it is not the top priority. This action addresses the safety of those closest to the fire but does not alert the rest of the facility to the danger. Without activating the fire alarm first, other staff members and clients may remain unaware of the fire, potentially putting more people at risk. Therefore, while moving clients is a necessary step, it should follow the activation of the fire alarm to ensure a comprehensive response to the emergency.

Choice C Reason:

Use a fire extinguisher to put out the fire. Using a fire extinguisher to put out the fire is a valid action, but it should not be the nurse’s top priority. Attempting to extinguish the fire without first alerting others can be dangerous, especially if the fire spreads quickly or if the nurse is unable to control it. Activating the fire alarm ensures that help is on the way and that evacuation procedures are initiated. Once the fire alarm is activated, the nurse can then attempt to use a fire extinguisher if it is safe to do so.

Choice D Reason:

Close the fire doors on the unit. Closing the fire doors is an important step in containing the fire and preventing it from spreading. However, this action should come after the fire alarm has been activated. Closing the fire doors without alerting others to the fire may delay the overall response and evacuation efforts. By activating the fire alarm first, the nurse ensures that everyone is aware of the fire and can take appropriate actions, including closing fire doors as part of the containment strategy.

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Correct Answer is D

Explanation

Choice A Reason:

Human beings tend to be untruthful by default and may not cooperate effectively unless they are held accountable. While accountability is important in any team setting, the statement that human beings tend to be untruthful by default is a broad generalization and not the primary reason for creating group agreements. Group agreements are more about fostering a positive and collaborative environment rather than assuming negative behavior from the outset.

Choice B Reason:

In the absence of agreements, there is an unspoken approval for individuals to conduct themselves however they please. This choice highlights the importance of having clear guidelines to prevent chaos and ensure everyone understands the expected behavior. However, it does not fully capture the essence of why agreements are crucial for team collaboration and conflict resolution.

Choice C Reason:

Agreements help differentiate between team members who cooperate effectively and those who are less productive. While agreements can help identify productive behaviors, their primary purpose is not to single out individuals but to create a cohesive and supportive team environment. The focus is on collective success rather than individual performance.

Choice D Reason:

Agreements emphasize that despite disagreements and gossip that may arise during meetings, these conflicts are never aimed at individuals personally. This choice best captures the essence of why group agreements are essential. They provide a framework for respectful communication and conflict resolution, ensuring that disagreements are handled professionally and do not become personal attacks. This helps maintain a positive team dynamic and fosters trust among team members.

A. Data systems offer supplementary documentation for adverse events that staff may not be able to provide. B. Physiologic monitoring systems allow for the identification of early changes prior to the occurrence of an adverse event. C. Frequently, patient data documentation is difficult to read, leading to misinterpretation. D. Mistakes made by humans play a significant role in causing adverse events.

Correct Answer is B

Explanation

Choice A Reason

Data systems that offer supplementary documentation for adverse events can be valuable for post-event analysis and improving future care. However, this choice focuses on documentation after an event has occurred rather than preventing the event in the first place. While important, it does not directly address the objective of preventing adverse events through real-time monitoring and intervention.

Choice B Reason

Physiologic monitoring systems are designed to continuously track vital signs and other critical parameters, allowing healthcare providers to identify early changes that may indicate an impending adverse event. By detecting these changes early, interventions can be implemented promptly to prevent the event from occurring. This proactive approach aligns directly with the objective of preventing adverse events through the use of suitable technology.

Choice C Reason

The difficulty in reading patient data documentation and the potential for misinterpretation is a valid concern. However, this issue pertains more to the clarity and usability of documentation rather than the prevention of adverse events through surveillance technology. Improving documentation practices is important, but it does not directly address the objective of using technology to prevent adverse events.

Choice D Reason

Human errors do play a significant role in causing adverse events, and reducing these errors is a critical aspect of patient safety. However, this choice does not specifically address the use of surveillance systems to prevent adverse events. While minimizing human errors is essential, the focus here is on the role of technology in early detection and prevention.

Conclusion

In summary, the objective of preventing adverse events by deploying suitable technology acknowledges that physiologic monitoring systems allow for the identification of early changes prior to the occurrence of an adverse event. This proactive approach enables timely interventions and enhances patient safety.

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A patient, while smoking in the bathroom, disposed of a cigarette into a wastepaper basket, causing it to start smoldering. What should be the nurse’s top priority in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A legal consultant recommends that the nurse manager and staff members create a group agreement before addressing conflicts. According to Yoder Wise and Sportsman, agreements about how team members will collaborate are essential because:

Correct Answer is D

Explanation

In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:

Correct Answer is B

Explanation

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