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 A

Explanation

A. Palpate the pulse distal to the cast: Assessing circulation is the priority after cast application to detect signs of compartment syndrome or impaired perfusion. A diminished or absent distal pulse may indicate an emergency requiring immediate intervention.
B. Place an ice pack over the cast: Applying ice can reduce swelling and discomfort in the first 24 to 48 hours, but it is a supportive measure. It should be done after confirming that circulation is intact.
C. Teach the client to keep the cast clean and dry: Client education is important for long-term cast care, but it is not an immediate priority following application. Circulatory checks take precedence to prevent complications.
D. Position the casted extremity on a pillow: Elevation helps minimize swelling and promote venous return, but it should be done after confirming that blood flow is adequate and not compromised by the cast.

A. Apply a tourniquet below the venipuncture site. B. Choose a vein that is palpable and straight. C. Elevate the client's arm prior to insertion. D. Select a site on the client's dominant arm.

Correct Answer is B

Explanation

A. Apply a tourniquet below the venipuncture site: The tourniquet should be applied above the venipuncture site to engorge the vein and make it more visible and easier to access.
B. Choose a vein that is palpable and straight: A vein that is palpable, straight, and firm provides the best chance of successful IV insertion and reduces the risk of complications like infiltration or phlebitis.
C. Elevate the client's arm prior to insertion: Elevating the arm can actually reduce venous filling and make vein access more difficult. Instead, the arm should be in a dependent position to promote vein distention.
D. Select a site on the client's dominant arm: The non-dominant arm is generally preferred for IV insertion to minimize interference with daily activities and reduce discomfort.

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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 caring for a client following application of a cast. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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