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

Activate the fire alarm system.

Confine the fire by closing doors and windows.

Rescue the client from immediate danger.

Extinguish the fire if possible.

Answer and Explanation

The Correct Answer is C

A. Activate the fire alarm system: This is important but comes after rescuing anyone in immediate danger.
B. Confine the fire by closing doors and windows: This helps prevent fire spread, but rescue comes first.
C. Rescue the client from immediate danger: According to the RACE acronym for fire response-Rescue, Alarm, Confine, Extinguish-the first step is always to rescue those in immediate danger.
D. Extinguish the fire if possible: Only attempt this if it is safe and others are not in danger.

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Correct Answer is A

Explanation

A. The client's hand is cool and pale: This indicates impaired circulation due to the restraint being too tight-a serious complication.
B. The client has a capillary refill of 1 second: This is a normal finding and indicates adequate perfusion.
C. The client has full range of motion in her wrist: This is a positive finding, not a complication.
D. The client is attempting to remove the restraint: This suggests agitation or discomfort but not necessarily a physical complication like impaired circulation.

A. "I'll carry objects close to my body." B. “I'll do exercises that strengthen my abdominal muscles." C. "When standing for a long period of time. I should keep my feet flat on the floor." D. "I'll wear low-heeled shoes from now on."

Correct Answer is C

Explanation

A. "I'll carry objects close to my body.": Carrying objects close to the center of gravity reduces strain on the back.
B. “I'll do exercises that strengthen my abdominal muscles.": Strong core muscles support the spine and prevent injury.
C. "When standing for a long period of time. I should keep my feet flat on the floor.": This statement indicates a need for further instruction. One foot should be slightly elevated on a footrest or step to reduce lumbar strain.
D. "I'll wear low-heeled shoes from now on.": Low-heeled shoes provide better spinal alignment and reduce back stress.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a wrist restraint in place. Which of the following findings should the nurse identify as an indication of a complication of the restraint?

Correct Answer is A

Explanation

A nurse in a clinic is reinforcing teaching with a group of new nurses about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that further instruction is needed?

Correct Answer is C

Explanation

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