The nurse arrives to the scene of a house fire. A victim is running out of the house, with flames on the arms. Which is the nurse's first action?

Transport victim to hospital.

Stop, drop, and roll.

Cover victim with clean cloth or sheet.

Remove all nonadherent clothing and jewelry.

Answer and Explanation

The Correct Answer is B

A. Transport victim to hospital: While transport to the hospital is necessary, it is not the immediate priority when the victim is still on fire.

B. Stop, drop, and roll: The first action for someone whose clothing is on fire is to stop, drop, and roll to extinguish the flames and prevent further burns.

C. Cover victim with clean cloth or sheet: Covering with a clean cloth is important after the flames have been extinguished but not the first step when the victim is still burning.

D. Remove all nonadherent clothing and jewelry: Removing clothing and jewelry should be done after the flames are extinguished and initial care has been administered.

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Correct Answer is C

Explanation

A. A resident with dementia who requires assistance eating: While this resident might have complications due to a weakened immune system, chemotherapy significantly increases the risk of complications from herpes zoster.

B. A resident who is sexually active: Sexual activity does not increase the risk of complications from herpes zoster.

C. A resident who is undergoing chemotherapy for breast cancer: Chemotherapy significantly compromises the immune system, making the resident more susceptible to severe complications from herpes zoster.

D. A resident recovering from a hip fracture: While recovering from a hip fracture is a stressor, it does not have as significant an impact on the immune system as chemotherapy.

A. Very disruptive to a person in society B. Differing from socially acceptable behavior C. Causing the person to be involved in problems D. Resulting from an inability to exercise control

Correct Answer is B

Explanation

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

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The nurse arrives to the scene of a house fire. A victim is running out of the house, with flames on the arms. Which is the nurse's first action?

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Naxlex Comprehensive Predictor Exams

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