The nurse is extinguishing a fire that has broken out in the workplace.
Which is the first step the nurse should take?

Choice A rationale:

"I will keep my walker at the end of my bed." This statement indicates that the client understands the importance of having the walker within reach. Placing the walker at the end of the bed ensures that the client can use it immediately upon getting up, providing support and stability, thus reducing the risk of falls.

Choice B rationale:

"I will keep the fluorescent ceiling light on in my room at night." While having adequate lighting is important, using a fluorescent ceiling light throughout the night might disrupt the client's sleep. Additionally, a nightlight or a bedside lamp with a low-wattage bulb can provide sufficient illumination without disturbing sleep.

Choice C rationale:

"I will place an area rug at the entry of my bathroom." This statement indicates a lack of understanding. Area rugs can be tripping hazards, especially in areas prone to moisture like bathrooms. It is advisable to remove rugs and ensure non-slip flooring to prevent slips and falls.

Choice D rationale:

"I will place a bath seat in my shower to use when I bathe." While using a bath seat is a good safety measure, it does not address the client's risk of falling outside the shower area. Installing grab bars and non-slip mats in the bathroom, along with removing potential hazards, would be more comprehensive in ensuring the client's safety. .

Choice A rationale:

Confine the fire by closing doors and windows. Rationale: While confining the fire is essential, the nurse's first priority should be the safety of the client. Closing doors and windows can wait. The nurse should focus on immediate actions to ensure the client's safety.

Choice B rationale:

Activate the fire alarm system. Rationale: Activating the fire alarm system is crucial to alert others in the healthcare facility about the fire. This action ensures a timely response from the fire department and other staff members, enhancing overall safety within the facility.

Choice C rationale:

Extinguish the fire if possible. Rationale: Attempting to extinguish the fire might lead to delay, especially if the nurse is not trained to handle fires properly. Moreover, the nurse's safety is paramount, and attempting to put out the fire could put the nurse at risk. Prioritizing the client's immediate rescue is the best course of action.

Choice D rationale:

Rescue the client from immediate danger. Rationale: The correct action for the nurse to take first is to rescue the client from immediate danger. This may involve helping the client out of the room or moving them away from the source of the fire. Ensuring the client's safety is the top priority, and all other actions should follow after this.