The nurse walks into the client’s room and notices fire coming from the trash can. Place the following actions in the order the nurse should perform them:

1. Close all of the doors and windows
2. Activate the fire alarm
3. Extinguish the fire using the proper fire extinguisher
4. Move the client from the room

Choice A reason: Hip surgery involves invasive procedures, increasing infection risk due to surgical wounds, immobility, and potential hardware. This patient faces higher risk than others, making it the correct choice.

Choice B reason: Heart problem stabilization may involve catheters, but surgical wounds pose a greater infection risk. Cardiac patients are less prone to immediate infection unless invasive devices are present, making this less likely.

Choice C reason: Dehydration weakens immunity but is less directly linked to infection than surgical wounds. Hydration correction reduces risk, making this patient less at risk than the surgical patient.

Choice D reason: Chest pain observation typically involves non-invasive monitoring, with lower infection risk than surgery. Without invasive procedures, this patient is less susceptible, making this incorrect.

Choice A reason: A 10-mL syringe may be too large for IV push medications, risking rapid administration. Smaller syringes (e.g., 3–5 mL) allow precise dosing, but compatibility is the priority, making this incorrect.

Choice B reason: Administering over 5 seconds is too fast for most IV push medications, risking adverse reactions. Medications require specific administration rates, but compatibility must be confirmed first, making this secondary.

Choice C reason: Flushing with 20 mL of normal saline ensures patency but is excessive for IV push. Compatibility checks prevent precipitation or inactivation, making flushing a follow-up action, not the priority.

Choice D reason: Checking medication compatibility with IV fluids or drugs prevents adverse reactions like precipitation. This ensures safe administration, making it the priority action before giving an IV push medication.