28. A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps) (ORDERED RESPONSE)
Transport the client to another area of the nursing unit.
Activate the facility’s fire alarm system.
Use the unit’s fire extinguisher to attempt to put out the fire.
Close all nearby windows and doors.
The Correct Answer is A,B,D,C
A. The first priority is to rescue any individuals in immediate danger. Moving the client ensures their safety before addressing the fire. Delaying this step could expose the client to smoke inhalation or burns.
B. Once the client is safe, the nurse must activate the fire alarm system. This alerts the rest of the facility and triggers the emergency response protocol. Early alarm activation helps prevent the fire from spreading further.
C. Attempting to extinguish the fire comes only after other safety measures. If the fire is small and controllable, using a fire extinguisher may prevent escalation. However, it must only be attempted when it is safe to do so.
D. Closing nearby windows and doors helps contain the fire to one area. This reduces oxygen flow and slows the spread of fire and smoke throughout the unit. Containment is a key step in minimizing damage and injury.
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Related Questions
Correct Answer is C
Explanation
A. Keep a monthly calendar in the client's kitchen: A calendar showing a full month may be difficult for a client with Alzheimer's disease to process due to impaired memory and orientation. Simpler visual aids or daily reminders are more effective in supporting cognitive function.
B. Provide distraction by keeping the television on: Leaving the television on continuously can overstimulate the client and contribute to confusion or agitation. Clients with Alzheimer's often benefit more from calm, structured environments than from constant auditory input.
C. Install a nightlight in the client's bedroom: Installing a nightlight helps maintain orientation and reduce nighttime confusion. It also lowers the risk of falls by making it easier for the client to navigate their environment if they wake during the night.
D. Place a deadbolt lock on the client's bedroom door: Locking the client in their bedroom poses serious safety concerns, especially in emergencies like a fire. It may also increase anxiety or fear. Safer wandering prevention measures include door alarms or monitoring systems.
Correct Answer is D
Explanation
A. Critical pathways have an unlimited timeframe for completion: Critical pathways are designed with specific timelines to standardize care and ensure timely achievement of outcomes, so they do not have unlimited timeframes.
B. Nurses should discontinue the critical pathway if variances occur: Variances are documented and addressed, not a reason to discontinue the pathway. They help track deviations and guide individualized care adjustments.
C. Nurses' notes are used to create the critical pathway: Critical pathways are developed from evidence-based guidelines and clinical expertise, not directly from nurses' notes, though documentation helps evaluate their effectiveness.
D. Critical pathways should reduce health care costs: By standardizing care, minimizing delays, and improving efficiency, critical pathways aim to reduce unnecessary interventions and overall health care costs.
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