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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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A Reason

Internet sources are a valuable tool for gathering patient information and educational materials. Websites such as the American Heart Association, UpToDate, and the National Institutes of Health provide comprehensive resources on hypertension management, including fact sheets, guidelines, and patient education materials123. These sources are regularly updated with the latest research and recommendations, ensuring that the information is current and evidence-based. Additionally, online platforms offer interactive tools and resources that can enhance patient engagement and understanding.

Choice B Reason

Email can be used to communicate with patients and share educational materials, but it is not a primary source for extracting patient information. Email is more suitable for follow-up communications, appointment reminders, and sharing specific documents or instructions. While it can support patient education efforts, it lacks the breadth and depth of information available through dedicated medical websites and databases.

Choice C Reason

Biomedical technologies, such as electronic health records (EHRs) and wearable devices, provide valuable data on patient health metrics, including blood pressure readings and medication adherence. These technologies can offer real-time insights and help monitor patient progress. However, they are not typically used as primary sources for educational content. Instead, they complement educational programs by providing personalized data that can be used to tailor patient education and interventions.

Choice D Reason

A clinical database is a repository of patient information collected from clinical settings. It includes data on patient demographics, medical history, treatment outcomes, and more. While clinical databases are essential for research and quality improvement, they are not typically used as primary sources for patient education materials. Instead, they provide the data needed to identify trends and inform the development of educational programs.

A. The student assesses the patient’s level of understanding for each treatment option. B. The student advises the patient on which treatment options they should select. C. The student schedules a doctor’s visit for the patient and their family to aid them in making treatment decisions. D. The student explains the rationale for their interventions.

Correct Answer is B

Explanation

Choice A Reason:

Assessing the patient’s level of understanding for each treatment option is a crucial aspect of patient engagement. It ensures that patients are well-informed about their choices and can make decisions based on a clear understanding of the potential benefits and risks. This action promotes patient autonomy and supports shared decision-making, which are key components of patient-centered care.

Choice B Reason:

Advising the patient on which treatment options they should select indicates a need for further teaching. This approach undermines patient autonomy and does not align with the principles of patient-centered care. Instead of making decisions for the patient, the nurse should facilitate informed decision-making by providing comprehensive information and supporting the patient in evaluating their options. This empowers patients to take an active role in their healthcare decisions.

Choice C Reason:

Scheduling a doctor’s visit for the patient and their family to aid them in making treatment decisions is a supportive action that promotes patient engagement. It ensures that patients have access to professional guidance and can involve their family in the decision-making process. This collaborative approach can enhance the quality of care and ensure that decisions are made with a thorough understanding of the patient’s preferences and values.

Choice D Reason:

Explaining the rationale for their interventions is an essential practice for promoting patient engagement. It helps patients understand the reasons behind the recommended actions and interventions, which can increase their trust in the healthcare provider and their willingness to participate in their care. This transparency is vital for building a strong patient-provider relationship and ensuring that patients feel informed and involved in their treatment plans.

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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

As the nurse manager, you are developing a patient education program aimed at offering guidance and supervision for patients with hypertension. To assist in your planning, you extract and present patient information from:

Correct Answer is A

Explanation

A clinical instructor is evaluating a student nurse’s capability to promote patient engagement. Which of the student’s actions indicates a need for further teaching?

Correct Answer is B

Explanation

The clinic nurse has recently opened a client’s chart on the computer. A resident approaches and requests her to remain logged in so he can add a note to the same chart. Her response should be:

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