A nurse is reinforcing teaching about the facility's fire intervention plan with new assistive personnel. Which of the following instructions the nurse include in the teaching?

Attempt to extinguish the fire before evacuating clients.

Aim the spray of the fire extinguisher at the top of the fire.

Open nearby doors and windows when the fire alarm sounds.

Have ambulatory clients walk independently to a safe location

Answer and Explanation

The Correct Answer is D

Rationale:

A. Attempt to extinguish the fire before evacuating clients: The priority is client safety. Attempting to extinguish a fire should only be done if the fire is small, contained, and the area has been cleared. Evacuation takes precedence over suppression efforts.

B. Aim the spray of the fire extinguisher at the top of the fire: The correct technique is to aim at the base of the fire to effectively cut off the fuel source. Aiming at the top will not extinguish the fire and may waste the extinguisher’s contents.

C. Open nearby doors and windows when the fire alarm sounds: Opening doors and windows can cause the fire to spread more rapidly by feeding it with oxygen. Doors should remain closed to help contain the fire and reduce the spread of smoke.

D. Have ambulatory clients walk independently to a safe location: Encouraging ambulatory clients to move independently helps prioritize assistance for those who are immobile or require more support. This approach ensures a quicker, safer evacuation process.

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Correct Answer is B

Explanation

Rationale:

A. Positions the client in a chair before applying the stockings: Applying antiembolic stockings while the client is in a seated position may lead to venous pooling in the lower extremities. This reduces the effectiveness of the stockings and may cause improper fit or increased pressure in dependent areas.

B. Elevates the legs before applying the stockings: Elevating the legs allows venous blood to drain from the lower extremities, reducing swelling and promoting proper application of the stockings. This ensures the stockings provide even compression and help prevent complications like thrombus formation.

C. Rolls the extra stocking material down to the client's knee: Rolling down the stockings creates a tourniquet effect, which can impair circulation and increase the risk of complications like venous stasis or skin breakdown. Stockings should be smooth and free of folds.

D. Massages the legs before applying the stockings: Massaging the legs, especially in a client with phlebitis, may dislodge a clot if present and increase the risk of embolism. Gentle handling without vigorous massage is essential in clients at risk for thromboembolic events.

A. Valerian root B. Garlic C. Aloe D. Saw palmetto

Correct Answer is B

Explanation

Rationale:

A. Valerian root: Valerian root is primarily used for its sedative properties and is commonly recommended for sleep disorders or anxiety. It does not have evidence-based benefits for lowering cholesterol levels and is not appropriate for this client's condition.

B. Garlic: Garlic has been shown in some studies to modestly reduce total cholesterol and low-density lipoprotein (LDL) levels. It may also have antiplatelet effects, making it a relevant herbal supplement for clients with elevated cholesterol when used appropriately.

C. Aloe: Aloe is typically used topically for wound healing or orally for constipation. It is not known to have any significant effect on lipid levels and is not recommended for cholesterol management.

D. Saw palmetto: Saw palmetto is most commonly used for benign prostatic hyperplasia (BPH) symptoms in men. It has no known lipid-lowering effects and is not suitable for managing high cholesterol.

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A nurse is reinforcing teaching about the facility's fire intervention plan with new assistive personnel. Which of the following instructions the nurse include in the teaching?

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