A nurse enters a client's room and sees smoke coming from a wall outlet. After removing the client from the room, which of the following actions should the nurse take next?

Activate the fire alarm.

Close the door to the client's room.

Report the fire details to the facility emergency extension.

Turn off electrical equipment.

Answer and Explanation

The Correct Answer is A

A. Activating the fire alarm is the immediate priority after ensuring the client's safety, as it alerts the entire facility to the potential danger and initiates the fire response protocol.
B. Closing the door to the client's room is important for containing the fire but is secondary to activating the alarm to ensure that emergency services are alerted.
C. Reporting the fire details to the facility emergency extension is necessary but should be done after the alarm has been activated to ensure that help is dispatched quickly.
D. Turning off electrical equipment may not be safe or possible in the event of a fire; the focus should be on evacuation and alerting emergency services.

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Correct Answer is D

Explanation

A. Using only room numbers for client identification does not guarantee confidentiality, as room numbers can still be linked to specific individuals.
B. Logging assistive personnel into unit computers compromises security and violates confidentiality protocols. Each user should have a unique login.
C. Including a client’s name on a fax cover sheet is not recommended, as it exposes protected health information and can breach confidentiality.
D. Conducting change-of-shift report in a staff-only area protects client information from being overheard by unauthorized individuals, ensuring confidentiality.

A. Review evidence-based literature to determine best practices in the shift reporting process. B. Organize a task force to review interventions to change the shift reporting process. C. Create a new shift reporting process to present at the next staff meeting. D. Develop a strategy to alert other nurses about the need for changes in the shift reporting process.

Correct Answer is A

Explanation

A. Reviewing evidence-based literature is essential to understand best practices in shift reporting and can inform the development of effective interventions. This foundational step helps ensure that any proposed changes are supported by research and proven methods.
B. While organizing a task force can be beneficial, it should occur after understanding the current best practices, as the task force's efforts would be better guided with existing evidence.
C. Creating a new reporting process without first gathering information or reviewing best practices may result in ineffective or unnecessary changes.
D. Developing a strategy to alert nurses is important, but it should be based on informed decisions derived from literature and data analysis, which should come first.

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A nurse enters a client's room and sees smoke coming from a wall outlet. After removing the client from the room, which of the following actions should the nurse take next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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