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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Remove the safety inspection sticker before plugging in the IV pump: The safety inspection sticker should remain on the device to confirm that it has been tested and is safe to use. Removing it eliminates proof of its inspection status and compliance.
B. Grasp the IV pump cord when unplugging it from the electrical outlet: Pulling the cord rather than the plug can damage the internal wiring and increase the risk of electrical shock or equipment failure. The plug should be grasped firmly at the base.
C. Ensure that the electric outlet has two prongs for the IV pump: Medical equipment, including IV pumps, should be plugged into a three-pronged grounded outlet to ensure safe operation and reduce the risk of electrical shock or fire.
D. Check the cords of the IV pump for fraying: Inspecting the cords for damage before use is a standard safety measure. Frayed or damaged cords pose a serious electrical hazard and the device should not be used until repaired or replaced.

A. A client who consumes all the food from their meal tray. B. A client who requests assistance to use the bedside commode. C. A client who has a prescription for compression stockings and did not receive them. D. A client who requests to sit in the bedside chair while watching TV.

Correct Answer is C

Explanation

A. A client who consumes all the food from their meal tray: Eating a full meal is generally positive and does not require immediate reporting unless related to specific dietary restrictions or concerns.
B. A client who requests assistance to use the bedside commode: Requesting help to use the commode is expected and can be managed by the assistive personnel without urgent nurse notification.
C. A client who has a prescription for compression stockings and did not receive them: Compression stockings prevent deep vein thrombosis and promote circulation. Not receiving them as prescribed is a safety concern that requires prompt nurse awareness and intervention.
D. A client who requests to sit in the bedside chair while watching TV: This is a normal, non-urgent request that the assistive personnel can usually handle without needing to notify the nurse immediately.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse?

Correct Answer is C

Explanation

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