A nurse is providing fire safety training to a newly licensed nurse. Which of the following statements indicates an understanding of the teaching?

"I will report equipment with three-prong electric plugs as a fire hazard."

"If I see a fire. I should try to remove the client from the room first.

"I should place equipment in front of the emergency exit to prop it open."

"I should sweep the fire extinguisher from side to side before squeezing the handle.”

Answer and Explanation

The Correct Answer is B

A. "I will report equipment with three-prong electric plugs as a fire hazard.": Three-prong plugs are designed for safety, providing grounding to prevent electrical fires. Reporting them as hazards indicates a misunderstanding of proper electrical safety.

B. "If I see a fire, I should try to remove the client from the room first.": Ensuring client safety is the top priority during a fire. Removing clients from immediate danger follows the first step of the RACE protocol (Rescue, Alarm, Contain, Extinguish), demonstrating correct understanding of fire response.

C. "I should place equipment in front of the emergency exit to prop it open.": Blocking emergency exits is a serious fire safety violation. Exits must remain clear at all times to allow rapid evacuation.

D. "I should sweep the fire extinguisher from side to side before squeezing the handle.": The correct sequence is to pull the pin, aim at the base of the fire, squeeze the handle, and then sweep side to side. Sweeping before squeezing would render the extinguisher ineffective.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Encourage exercise 1 hr prior to sleep: Vigorous exercise immediately before bedtime can increase alertness and delay sleep onset. Exercise is best scheduled earlier in the day to promote better sleep quality.

B. Provide a warm cup of coffee 30 min before bedtime: Caffeine is a stimulant that can interfere with the ability to fall and stay asleep. Offering coffee close to bedtime is counterproductive to promoting sleep.

C. Turn on the client's television at bedtime: Television and other electronic devices emit light and provide stimulation that can disrupt circadian rhythms and inhibit melatonin release, making it harder to fall asleep.

D. Encourage the client to take a warm bath before bedtime: A warm bath helps relax muscles and promotes a decrease in core body temperature afterward, which can facilitate sleep onset. This is an effective, nonpharmacologic intervention to improve sleep quality.

A. Encourage the client to drink 3000 mL of fluid daily. B. Review the need for the indwelling urinary catheter daily. C. Empty the drainage bag when it is half-full. D. Use soap and water to provide perineal care. E. Place the drainage bag on the bed when transporting the client. F. Change the indwelling urinary catheter tubing every 3 days.

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

Explanation

Rationale:

A. Encourage the client to drink 3000 mL of fluid daily: This is contraindicated because the client has heart failure with signs of fluid volume excess (crackles and 3+ pitting edema). Increasing fluid intake could worsen fluid overload.

B. Review the need for the indwelling urinary catheter daily: Daily assessment of catheter necessity allows for timely removal when it is no longer needed, which significantly decreases the risk of catheter-associated urinary tract infections (CAUTIs).

C. Empty the drainage bag when it is half-full: Keeping the drainage bag from becoming overfilled prevents urine backflow into the bladder, which can introduce bacteria and increase infection risk. Regular emptying is a key preventive measure.

D. Use soap and water to provide perineal care: Proper perineal hygiene with mild soap and water helps remove bacteria and maintain skin integrity, reducing the risk of urinary tract infection, especially in incontinent clients.

E. Place the drainage bag on the bed when transporting the client: The drainage bag should always remain below the level of the bladder and off the bed to prevent backflow of urine, which can introduce bacteria and increase infection risk.

F. Change the indwelling urinary catheter tubing every 3 days: Routine scheduled tubing changes are not recommended, as unnecessary manipulation of the system can increase infection risk. Tubing should only be changed when clinically indicated (e.g., contamination, obstruction).

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