The nurse is extinguishing a fire that has broken out in the workplace.
Which is the first step the nurse should take?
Squeeze the handles together.
Pull the pin found between the handles.
Aim the nozzle at the base of the flames.
Sweep the nozzle back and forth at the base of the flames.
Correct Answer : A,C
Choice A rationale:
Instructing the clients to use the call light is an important action to prevent falls. If the clients need assistance or have to leave their beds, they should use the call light to alert the nurse or healthcare provider. Prompt response to call lights can prevent clients from attempting to move on their own and potentially falling.
Choice B rationale:
Keeping the clients' rooms dark is not a safe practice, especially for clients at risk for falls. Dim lighting can increase the risk of tripping or falling, especially during nighttime when visibility is already reduced. Adequate lighting in the clients' rooms is essential to ensure their safety.
Choice C rationale:
Moving overbed tables away from the bed is crucial in preventing falls. Overbed tables can obstruct the clients' movement, leading to accidents. By keeping the area around the bed clear, the clients have more space to maneuver safely, reducing the risk of falls.
Choice D rationale:
Performing client checks every 4 hours is a good practice, but it is not sufficient for clients at high risk for falls, especially during the night shift when they may need assistance to use the bathroom or move in bed. Frequent checks and availability to assist clients promptly are essential to prevent falls effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is C. Tuberculosis.
Choice A rationale:
Scabies is a skin infestation caused by mites, and it does not require airborne precautions. Standard precautions, such as gloves and hand hygiene, are sufficient.
Choice B rationale:
Mycoplasmal pneumonia is typically spread through droplets, and a regular surgical mask is usually adequate for protection.
Choice C rationale:
Tuberculosis (TB) is an airborne disease, and healthcare workers need to wear an N95 respirator to protect themselves from inhaling the bacteria.
Choice D rationale:
Scarlet fever is spread through respiratory droplets, but it does not require airborne precautions. Standard precautions are usually enough.
Correct Answer is B
Explanation
Choice A rationale:
Using a fire extinguisher should not be the nurse's first action in this situation. The nurse's priority is to ensure the safety of the clients and staff in the vicinity. Attempting to use a fire extinguisher might not be effective and can potentially cause harm, especially if the fire spreads quickly.
Choice B rationale:
Activating the fire alarm is the nurse's priority in this situation. By activating the fire alarm, the nurse can alert everyone in the facility about the fire, ensuring that people are aware and can evacuate safely. This action initiates the facility's fire response protocol, leading to a quicker and organized response to the emergency.
Choice C rationale:
Moving clients to safety is important, but it is not the nurse's immediate priority in this situation. Activating the fire alarm should be done first to ensure that everyone in the facility is aware of the danger, and then the nurse can assist in moving clients to safety if necessary.
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