A nurse is assisting with the evaluation of a facility's safety plan. Which of the following indicates that the safety plan is effective?

Staff members used a class A fire extinguisher during an electrical fire

Staff members review the locations of fire extinguishers every 2 to 3 years.

An evacuation was ordered during a fire when fire extinguishers were not effective.

Fire alarms in the facility have the same sound as other alarms.

Answer and Explanation

The Correct Answer is A

A) Staff members used a class A fire extinguisher during an electrical fire.
This response indicates that the safety plan is effective because it shows that the staff used the correct type of fire extinguisher for the fire they encountered. Class A fire extinguishers are designed for ordinary combustibles (e.g., wood, paper, cloth), but using a fire extinguisher that is correctly suited to the fire type demonstrates that the staff are trained and prepared to respond appropriately in an emergency. For electrical fires, however, a Class C fire extinguisher should be used. This suggests a review of fire safety plan training might be necessary to align fire extinguisher types with fire classes.

B) Staff members review the locations of fire extinguishers every 2 to 3 years.
Reviewing the locations of fire extinguishers every 2 to 3 years is not an adequate frequency. Fire safety protocols should be reviewed more frequently to ensure that staff are consistently aware of fire extinguisher locations. Routine and more frequent checks (e.g., annually) are required to ensure proper preparedness in an emergency.

C) An evacuation was ordered during a fire when fire extinguishers were not effective.
While evacuations are necessary in certain situations, an evacuation being ordered because fire extinguishers were ineffective could indicate that the safety plan was not properly executed or that there was an issue with fire extinguisher maintenance or staff training. The effectiveness of fire safety plans should reduce the need for evacuations due to inadequate response efforts.

D) Fire alarms in the facility have the same sound as other alarms.
Fire alarms should have a distinct sound that differentiates them from other types of alarms (e.g., medical or security alarms). If fire alarms have the same sound as other alarms, it could create confusion in an emergency, undermining the effectiveness of the safety plan. The alarm system should be unique and easily identifiable.

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Correct Answer is A

Explanation

A) Assist the client with range-of-motion exercises of the hands:
This task is appropriate for the assistive personnel (AP) as it is a routine, non-invasive intervention that can help maintain mobility and prevent contractures in the hands. The AP can assist with range-of-motion exercises, following proper technique, and reporting any abnormalities to the nurse. This falls within the AP's scope of practice and can be delegated to them effectively.

B) Determine the circulation status of the affected extremities every hr:
Assessing circulation is a nursing responsibility and requires clinical judgment to identify signs of impaired circulation, such as color changes, pulse, or temperature of the skin. This task cannot be delegated to an AP, as it requires a nurse’s skill to interpret findings and take appropriate action.

C) Instruct the client's family about the purpose of mitten restraints:
Educating the client's family about the use of mitten restraints is a responsibility of the nurse, not the AP. This involves assessing the family’s understanding, providing relevant information, and answering any questions they may have. Only licensed healthcare professionals are responsible for providing education about the purpose and use of restraints.

D) Evaluate the need for the client to remain in mitten restraints:
Evaluating the necessity of restraints involves assessing the client's condition, safety, and overall care needs. This requires critical thinking and professional judgment and should be performed by the nurse, not the AP. The nurse must determine if the restraints continue to be necessary or if they can be removed, ensuring the client’s safety and dignity.

A. Rolls from back to abdomen B. Moves objects to mouth C. Anterior fontanel closed D. Posterior fontanel closed

Correct Answer is C

Explanation

A) Rolls from back to abdomen: Rolling from back to abdomen is a typical developmental milestone for a 4-month-old infant. By this age, infants usually have increased muscle strength and coordination, allowing them to start rolling over. This movement helps build their core strength, which is important for later developmental milestones like sitting up and crawling.

B) Moves objects to mouth: It is common for a 4-month-old to move objects to their mouth as they begin exploring the world around them. This action is a key part of sensory development and helps infants develop their hand-to-mouth coordination. Additionally, this behavior assists in teething and the development of oral motor skills.

C) Anterior fontanel closed: The anterior fontanel normally closes between 12 to 18 months of age. If it is closed at 4 months, it may suggest abnormal cranial growth, such as craniosynostosis, where the sutures of the skull close too early. This could lead to increased pressure on the brain, which can cause developmental delays or other complications, so the provider should be notified for further assessment.

D) Posterior fontanel closed: The posterior fontanel typically closes by 2 to 3 months of age. If it is closed by 4 months, it is completely normal and indicates proper cranial development. The closing of the posterior fontanel helps ensure the skull's bones are fusing together as expected, and it does not raise any concerns at this stage.

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A nurse is assisting with the evaluation of a facility's safety plan. Which of the following indicates that the safety plan is effective?

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Naxlex Comprehensive Predictor Exams

A nurse at a long-term care facility is reviewing the plan of care for client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to an assistive personnel?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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