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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","G"]
Explanation
|
System |
Findings |
|
General |
Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not. I found the title to the car today, signed over to me." |
|
Physical |
Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min |
|
Affect |
Client says, "Why don't you just leave me? I am of no use." |
Rationale
These findings suggest significant cognitive and physical decline, potential depression, and possible suicidal ideation, all of which require immediate attention and intervention.
Correct Answer is ["C","E","G"]
Explanation
- Difficulty sleeping: This can be a side effect of fluoxetine, which can cause insomnia in some individuals.
- Frequent headaches: Headaches are a common side effect of many antidepressants, including fluoxetine.
- BP 169/91 mm Hg: Elevated blood pressure can be an adverse effect of fluoxetine, especially if the client has a history of hyperlipidemia.
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