A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Pull the fire alarm.

Extinguish the fire.

Confine the fire.

Rescue the clients.

Answer and Explanation

The Correct Answer is D,A,C,B

A: Pulling the fire alarm is essential to alert others to the fire and initiate the emergency response. However, it should follow the immediate rescue of clients.

B: Extinguishing the fire is important but should be done after ensuring the safety of clients and confining the fire.

C: Confining the fire helps prevent it from spreading and should be done after pulling the fire alarm.

D: Rescuing the clients is the first priority to ensure their safety. Clients should be moved to a safe area away from the fire.

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Correct Answer is D

Explanation

A: Encouraging the client to consume a high-protein diet is beneficial for overall health and recovery but does not directly prevent the transmission of infection.

B: Changing the client’s bed linens each day is good practice for maintaining cleanliness but is not the most critical strategy for preventing infection transmission.

C: Placing the client in a room with positive-pressure airflow is used for protecting immunocompromised patients from outside infections, not for preventing the spread of infection from the client.

D: Performing hand hygiene before, during, and after direct contact with the client is the most effective strategy for preventing the transmission of infection. Proper hand hygiene is crucial in breaking the chain of infection and protecting both the client and healthcare providers.

A. A client who has lactose intolerance B. A client who has had a cerebrovascular accident C. A client who has had prolonged diarrhea D. A client who has had trauma to the head and neck E. A client who is 4 hours postoperative following a leg amputation with general anesthesia

Correct Answer is ["B","D","E"]

Explanation

A: A client with lactose intolerance does not have an increased risk of aspiration while eating. Lactose intolerance affects the digestive system, causing symptoms like bloating and diarrhea when consuming dairy products, but it does not impact swallowing.

B: A client who has had a cerebrovascular accident (CVA) or stroke is at increased risk of aspiration. Strokes can affect the muscles involved in swallowing, leading to dysphagia (difficulty swallowing) and increasing the risk of food or liquid entering the airway.

C: A client who has had prolonged diarrhea is not typically at increased risk of aspiration. Diarrhea affects the gastrointestinal system but does not directly impact the swallowing mechanism.

D: A client who has had trauma to the head and neck is at increased risk of aspiration. Such trauma can damage the structures involved in swallowing, leading to dysphagia and a higher likelihood of aspiration.

E: A client who is 4 hours postoperative following a leg amputation with general anesthesia is at increased risk of aspiration. General anesthesia can depress the gag reflex and swallowing function, making it easier for food or liquid to enter the airway during the immediate postoperative period.

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A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client’s infection?

Correct Answer is D

Explanation

A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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