The nurse is extinguishing a fire that has broken out in the workplace.
Which is the first step the nurse should take?
Squeeze the handles together.
Pull the pin found between the handles.
Aim the nozzle at the base of the flames.
Sweep the nozzle back and forth at the base of the flames.
Correct Answer : A,C
Choice A rationale:
Instructing the clients to use the call light is an important action to prevent falls. If the clients need assistance or have to leave their beds, they should use the call light to alert the nurse or healthcare provider. Prompt response to call lights can prevent clients from attempting to move on their own and potentially falling.
Choice B rationale:
Keeping the clients' rooms dark is not a safe practice, especially for clients at risk for falls. Dim lighting can increase the risk of tripping or falling, especially during nighttime when visibility is already reduced. Adequate lighting in the clients' rooms is essential to ensure their safety.
Choice C rationale:
Moving overbed tables away from the bed is crucial in preventing falls. Overbed tables can obstruct the clients' movement, leading to accidents. By keeping the area around the bed clear, the clients have more space to maneuver safely, reducing the risk of falls.
Choice D rationale:
Performing client checks every 4 hours is a good practice, but it is not sufficient for clients at high risk for falls, especially during the night shift when they may need assistance to use the bathroom or move in bed. Frequent checks and availability to assist clients promptly are essential to prevent falls effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The anterior surface of the drape is not the correct choice because it includes the central sterile area, which should never be touched by the nurse. Touching the central sterile area contaminates the field.
Choice B rationale:
The outer 1-inch border of the drape is the correct choice for the nurse to touch. This border is considered non-sterile and can be handled without contaminating the sterile field. It acts as a barrier, preventing contaminants from reaching the central sterile area.
Choice C rationale:
The top inner corners of the drape are part of the central sterile area and should not be touched by the nurse. Touching this area would contaminate the sterile field.
Choice D rationale:
The posterior aspect of the drape is not the correct choice because it is part of the central sterile area. Touching this area would contaminate the sterile field. When preparing a sterile field, it is essential for the nurse to follow strict aseptic techniques to maintain the sterility of the field. This includes touching only the designated non-sterile areas, such as the outer 1-inch border of the sterile drape, to avoid contamination.
Correct Answer is B
Explanation
Choice A rationale:
A combining vowel is a vowel (usually "o") that connects a word root to a suffix or another root. It aids in the pronunciation and flow of the word. For example, in the word "gastroenteritis," "o" is the combining vowel that connects the word root "gastr-" (stomach) to the suffix "-itis" (inflammation) Combining vowels do not provide the general meaning of the word.
Choice B rationale:
The word root provides the fundamental meaning of the word. It is the core of the medical term and gives the essential meaning. For example, in the word "cardiology," the word root "cardio-" refers to the heart. Understanding word roots is crucial in comprehending medical terminology.
Choice C rationale:
A suffix is an affix added at the end of a word to form a derivative, indicating a characteristic of a person or thing. For instance, in the word "dermatologist," the suffix "-ologist" indicates a person who studies or practices a particular kind of knowledge, in this case, dermatology (the study of the skin)
Choice D rationale:
A prefix is an affix added to the beginning of a word to modify its meaning. For example, in the term "preoperative," the prefix "pre-" means before, and it modifies the root word "operative," indicating something that occurs before an operation. Prefixes provide additional information about the word's context but do not give the general meaning of the word itself.
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