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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, placing them in the order of performance. Use all the steps.)

Transport the client to another area of the nursing unit.

Activate the facility's fire alarm system.

Close all nearby windows and doors.

Use the unit's fire extinguisher to attempt to put out the fire.

Answer and Explanation

The Correct Answer is A,B,C,D

The correct sequence follows the RACE protocol for fire safety:

A. Transport the client to another area of the nursing unit (R: Rescue). Rescue anyone in immediate danger.

B. Activate the facility's fire alarm system (A: Alarm). Activate the alarm system.

C. Close all nearby windows and doors (C: Contain). Contain the fire by closing doors and windows.

D. Use the unit's fire extinguisher to attempt to put out the fire (E: Extinguish). Extinguish the fire if it is safe to do so.

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Correct Answer is D

Explanation

A. Calcium is essential for bone health but does not directly prevent neural tube defects.

B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.

C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.

D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.

A. "There was a total of 10 sponges used during the procedure." B. "The client was intubated without complications." C. "The estimated blood loss was 250 milliliters." D. "The client is a member of the board of directors."

Correct Answer is C

Explanation

A. The number of sponges used during surgery is important but does not provide as much relevant information for postoperative care.

B. The intubation status is relevant to the immediate perioperative period, but the primary concern in hand-off is the current postoperative condition.

C. Estimated blood loss is an important clinical detail to convey during hand-off, as it may impact the client's recovery and need for monitoring.

D. The client’s position or professional role (e.g., being a board member) is not relevant to the care plan and should not be included in the hand-off report.

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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, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

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A nurse is teaching a client who is trying to conceive. Which adolescent client. The nurse should expect the adolescent to be in which of the a neural tube defect?

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