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

Answer and Explanation

The Correct Answer is A

If a fire is found in a client's room during a routine medication pass, the nurse's first action should be to activate the fire alarm. Activating the fire alarm will alert other staff members and activate the fire suppression system, which can help to contain the fire and prevent it from spreading to other areas of the facility. This will also initiate the evacuation of other clients and staff members, as well as alert the fire department.

Once the fire alarm has been activated, the nurse should safely evacuate the client and themselves from the room, if possible, and then notify the supervisor and the fire department.

Containing the fire or attempting to put it out should only be done if it can be done safely and without putting oneself or others at risk.

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Correct Answer is C

Explanation

The best thing to do is to involve a professional interpreter when there is a language barrier as the daughter may fail to provide accurate information if there is sensitive information needed.

A. The nurse asks the clients what matters most to them in their illness and treatment B. The nurse tells the client that they should not continue taking herbs C. The nurse asks the clients if they utilize shaman D. The nurse tells the clients that they should follow the provider’s orders

Correct Answer is A

Explanation

The action by the nurse that best demonstrates cultural competence is asking the clients what matters most to them in their illness and treatment. This demonstrates respect for the clients' beliefs, values, and preferences, and acknowledges that healthcare is influenced by cultural factors. By asking the clients what matters most to them, the nurse can gain insight into their cultural practices, beliefs, and expectations, and use this information to provide care that is more meaningful and effective.

Telling the client that they should not continue taking herbs, asking if they utilize a shaman, or telling the clients to follow the provider's orders without regard for their cultural beliefs and practices can be disrespectful, dismissive, and may create a barrier to effective communication and care. Cultural competence requires understanding and respecting the cultural diversity of clients and incorporating this knowledge into the provision of care.

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A fire is found in a client’s room during a routine medication pass. What is the nurse’s first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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