A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?

Use a fire extinguisher at the source of the smoke.

Close the doors to the room and to the bathroom.

Activate the fire alarm system.

Assist the client to a nearby common area.

Answer and Explanation

The Correct Answer is D

Choice A Reason:
Using a fire extinguisher at the source of the smoke is not appropriate. While using a fire extinguisher could potentially help contain a small fire, it's crucial to prioritize rescuing those in immediate danger and alerting others about the fire first by activating the fire alarm. This action ensures that help is on the way and that everyone is aware of the emergency.
Choice B Reason:
Closing the doors to the room and to the bathroom is not appropriate. Closing doors can help contain smoke and fire to some extent, but again, the priority in an emergency situation like this is to rescue those in immediate danger then activate the fire alarm to ensure a swift response and alert others.
Choice C Reason:
Activate the fire alarm system is appropriate. Activating the fire alarm alerts others in the facility and initiates the emergency response protocol, helping to ensure that help is on the way while potentially preventing the spread of fire. However, this step should be taken after assisting the client to safety as they are in immediate danger.
Choice D Reason:
Assisting the client who is in immediate danger to a nearby common area should be the furst step that the nurse takes before alerting other people of the fire. (RACE protocol)

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Free Nursing Study Resources

Correct Answer is A, B, C, D, E

Explanation

A. Cleanse the site with an antiseptic swab: Begin by cleaning the puncture site to reduce the risk of infection. B. Allow the site to dry: Let the antiseptic dry completely to prevent contamination or dilution of the blood sample. C. Pierce the puncture site quickly: Use a lancet to pierce the skin in one swift motion to minimize discomfort. D. Squeeze the site gently to obtain a blood droplet: Gently apply pressure to the site to encourage a droplet of blood to form. E. Apply blood to the test strip: Once the blood droplet forms, apply it to the test strip for analysis.

A. Locate the injection site 5 cm (2 in) to the right or left of the umbilicus. B. Check the medication administration record to verify the client's allergies. C. Slowly inject the medication into the site without aspirating. D. Pinch clean skin at the injection site and dart the needle into the skinfold at a 90° angle. E. Ensure an air bubble is present in the prefilled enoxaparin syringe.

Correct Answer is B, E, A, D, C

Explanation

B. Check the medication administration record to verify the client's allergies. Before preparing or administering any medication, the nurse must verify the client’s medication order and allergies to ensure safety. E. Ensure an air bubble is present in the prefilled enoxaparin syringe. The prefilled syringe contains an air bubble that should remain to ensure the entire dose is administered and to prevent medication from tracking back through the tissue. A. Locate the injection site 5 cm (2 in) to the right or left of the umbilicus. Enoxaparin should be administered in the subcutaneous tissue of the abdomen, avoiding areas near the umbilicus to reduce the risk of irritation and bruising. D. Pinch clean skin at the injection site and dart the needle into the skinfold at a 90° angle. Pinching the skin ensures the medication is delivered into the subcutaneous tissue, and injecting at a 90° angle minimizes pain and ensures proper technique. C. Slowly inject the medication into the site without aspirating. Aspiration is not necessary for subcutaneous injections. Slowly injecting reduces discomfort and ensures proper absorption.

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A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A, B, C, D, E

Explanation

A nurse is preparing to administer subcutaneous enoxaparin. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is B, E, A, D, C

Explanation

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