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A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Remove the clients from the room.

Close the door.

Extinguish the fire.

Activate the fire alarm.

Answer and Explanation

The Correct Answer is A,D,B,C

A. Remove the clients from the room: Rescue any persons in immediate danger first (R in RACE).

D. Activate the fire alarm: Next, activate the alarm system to alert others (A in RACE).

B. Close the door: Confine the fire by closing doors and windows to prevent spread (C in RACE).

C. Extinguish the fire: Attempt to extinguish the fire only if it is small and you are trained to do so (E in RACE).

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "I will place an area rug at the entry of my bathroom.": Area rugs are fall hazards and should be removed.
B. "I will keep the fluorescent ceiling light on in my room at night.": While keeping lights on is helpful, ceiling lights may be too bright or not easily accessible. A night light or bedside lamp is safer and more practical.
C. “I will place a bath seat in my shower to use when I bathe.": Using a bath seat reduces the risk of slipping and falling in the shower.
D. “I will keep my walker at the end of my bed.": The walker should be kept within reach to ensure it is easily accessible when the client gets out of bed.

A. Inserts one finger between the client's wrist and the restraint B. Ties the restraints to the side rails C. Places the padding of the restraints against the client's bony prominences D. Ties the straps of the restraints in a double knot

Correct Answer is C

Explanation

A. Inserts one finger between the client's wrist and the restraint: Best practice is to allow two fingers of space to ensure adequate circulation and comfort.
B. Ties the restraints to the side rails: Restraints must never be tied to movable parts (like side rails); they should be secured to the bed frame.
C. Places the padding of the restraints against the client's bony prominences: Padding helps prevent skin breakdown and pressure injuries over bony areas.
D. Ties the straps of the restraints in a double knot: Double knots are hard to remove in emergencies; a quick-release knot is recommended.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is C

Explanation

A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client. Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?

Correct Answer is C

Explanation

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