A nurse is reinforcing teaching with a client about fire safety in the home. Which of the following instructions should the nurse include in the teaching?

Open windows to allow smoke to escape if a fire occurs.

Store a fire extinguisher away from the stove in the home.

Aim the extinguisher nozzle at the top of the flames if a fire occurs.

Change batteries in home smoke alarms every 2 years.

Answer and Explanation

The Correct Answer is B

A. Opening windows during a fire can increase airflow, which may actually intensify the flames and spread the fire faster. Instead, clients should close doors to contain the fire and smoke, stay low to the ground to avoid inhaling smoke, and focus on evacuating the home safely.

B. Storing the fire extinguisher away from the stove ensures it remains accessible if a fire breaks out on or near the stove. If a fire occurs, the extinguisher should be in a location that is easy to access but away from the immediate fire source to prevent the person from reaching through flames to retrieve it.

C. The correct technique is to aim the nozzle at the base of the flames, where the fuel source is. This helps to smother the fire more effectively, as aiming at the base cuts off the fuel source, whereas aiming at the top would be less effective.

D. The batteries in smoke alarms should generally be changed every 6-12 months to ensure they are functioning properly. Many recommendations also suggest testing alarms monthly and replacing the entire smoke alarm every 10 years.

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Correct Answer is C

Explanation

A. Disinfect hands using an alcohol-based waterless antiseptic:

While alcohol-based hand sanitizers are effective against many germs, including bacteria, they may not be as effective against C. difficile. Soap and water are preferable for hand hygiene in C. difficile cases because alcohol does not effectively kill the spores.

B. Wear an N95 respirator when caring for the client:

The primary mode of transmission for C. difficile is through the fecal-oral route, and respiratory precautions are not necessary. Standard precautions, including wearing gloves and gowns, are generally sufficient.

C. Use diluted bleach to clean soiled equipment:

This is the correct answer. Bleach is an effective disinfectant against C. difficile spores. It is recommended for cleaning surfaces and equipment that may be contaminated.

D. Provide a room with negative-pressure airflow:

Negative-pressure airflow rooms are typically reserved for airborne infections, and they are not necessary for C. difficile. Standard precautions, along with thorough cleaning and disinfection, are the key measures.

A. The costs associated with complications after a surgical procedure are factored into the scheduled reimbursement. B. "Charging the client for only a portion of the supplies used will help to decrease the costs to the hospital." C. "A high cost of treatment ensures that the best quality of care was provided to the client." D. "Client care should be organized for efficient use of time."

Correct Answer is D

Explanation

A. The statement "The costs associated with complications after a surgical procedure are factored into the scheduled reimbursement" is incorrect. Complications after a surgical procedure may lead to increased costs, but these costs are not always fully reimbursed. Preventing complications is a key strategy to control costs, as it can reduce the need for additional resources and interventions.

B. The statement "Charging the client for only a portion of the supplies used will help to decrease the costs to the hospital" is not a sustainable or ethical approach to cost containment. Proper billing practices and transparency are essential in healthcare, and passing on costs to clients in an arbitrary manner can lead to ethical and legal issues.

C. The statement "A high cost of treatment ensures that the best quality of care was provided to the client" is incorrect. While high-quality care is important, high costs do not necessarily guarantee quality. Cost-effectiveness and efficiency in healthcare delivery are critical considerations to ensure quality care without unnecessary expenses.

D. The statement "Client care should be organized for efficient use of time" is correct. Efficient organization of client care helps optimize resources, reduce unnecessary delays, and enhance overall productivity. Streamlining processes and workflow contributes to effective cost containment within a healthcare facility.

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