A fire is found in a client's room during a routine medication pass. What is the nurse's first action?
Activate the fire alarm.
Contain the fire.
Notify the supervisor.
Remove the client from the room.
The Correct Answer is D
The nurse’s first action when a fire is discovered in a client’s room is to evacuate any clients or visitors in immediate danger12.
This is because the safety of the clients and visitors is the top priority.
Choice A is not the correct answer because activating the fire alarm is not the first action that should be taken.
Choice B is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.
Choice C is not the correct answer because notifying the supervisor is not the first action that should be taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Collaborate with the client and provider to develop a client-centered plan of care.
It is important for the nurse to respect the client’s cultural and religious beliefs while also ensuring that his medical needs are met.
By collaborating with the client and his healthcare provider, the nurse can help develop a plan of care that takes into account the client’s desire to fast during Ramadan while also managing his diabetes.
Choice A) Educating the client that fasting is not an option is not respectful of the client’s beliefs and may not be effective in promoting adherence to treatment.
Choice B) Telling the client not to take his insulin the night before is not appropriate as it may result in uncontrolled blood sugar levels.
Choice C) Informing the client that he will need to change his lifestyle completely is not a client-centered approach and may not be effective in promoting adherence to treatment.
Correct Answer is C
Explanation
This is an example of restating.
Restating is a therapeutic communication technique where the nurse repeats what the client has said in their own words to show that they are listening and to clarify the client’s message.
Choice A is incorrect because establishing trust involves building a relationship with the client and is not demonstrated in this example.
Choice B is incorrect because using silence involves allowing for pauses in the conversation to give the client time to think and reflect, which is not demonstrated in this example.
Choice D is incorrect because reassuring involves providing comfort and support to the client, which is not demonstrated in this example.
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