A nurse enters a client's room and discovers a smoldering fire in the drapes. After moving clients to a safe location, which of the following actions should the nurse take next?

Use an extinguisher to put out the fire.

Pull the fire alarm.

Close the doors to client rooms.

Turn oﬀ any electrical equipment in the room.

Answer and Explanation

The Correct Answer is B

After moving clients to a safe location, the next action the nurse should take is to pull the fire alarm. This will alert others in the building to the presence of a fire and activate the building's fire suppression systems.

Options a, c, and d are not the next actions the nurse should take. Using an extinguisher to put out the fire may be appropriate if the nurse has been trained to do so and if it is safe to do so. Closing the doors to client rooms can help to contain the spread of smoke and fire, but it is not the next action the nurse should take. Turning oﬀ electrical equipment in the room may help to prevent further ignition sources, but it is not the next action the nurse should take.

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Correct Answer is D

Explanation

A. Complete the bath even if the client is in distress. – Forcing the bath can increase agitation and damage trust. If the client becomes distressed, pause, reassure, and try again later.

B. Allow the client to select the temperature of the bath water. – Clients with dementia may have impaired sensory perception, increasing the risk of burns or discomfort. The nurse should check the water temperature to ensure safety.

C. Give detailed instructions for the client to follow. – Clients with dementia may struggle to process multiple steps, leading to frustration. Instead, use simple, one-step instructions and gentle guidance.

D. Use distractions when bathing the client.Clients with dementia may experience anxiety, agitation, or distress during bathing. Using distractions, such as playing soothing music, talking about familiar topics, or providing a comforting touch, can help make the experience less stressful and more cooperative.

A. Rub his hands together to cause friction for at least 10 seconds. B. Turn oﬀ the faucet with a clean, dry paper towel. C. Dry his hands by working from the forearms down to the fingertips. D. Keep his hands above elbow level when washing.

Correct Answer is B

Explanation

The correct answer is that the nurse should turn oﬀ the faucet with a clean, dry paper towel when performing hand hygiene at the beginning of his shift. This helps to prevent recontamination of the hands by touching the faucet with clean hands.

Options a, c and d are not correct actions for performing hand hygiene. Rubbing hands together to cause friction for at least 10 seconds, drying hands by working from the forearms down to the fingertips and keeping hands above elbow level when washing are not recommended practices for hand hygiene.

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A nurse enters a client's room and discovers a smoldering fire in the drapes. After moving clients to a safe location, which of the following actions should the nurse take next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is performing hand hygiene at the beginning of his shift. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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