A nurse on a medical-surgical unit observes smoke billowing from a client’s room. Which of the following actions should the nurse take first?
A. Close
... [Show More] the door to the client’s room
-incorrect: The nurse should close the doors and windows in the immediate vicinity to help contain the fire; however, this is not the first action the nurse should take.
B. Evacuate the client from the room
-The acronym RACE can help nurses remember the order of the actions to take in the event of a fire. The components of RACE are rescue, activate, confine, and extinguish. The first priority is rescuing or removing the client from immediate danger. The second action is activation of the fire alarm system. The third action is confining the fire by closing doors and windows. The final action is extinguishing the fire, if possible, using an available fire extinguisher. If attempts to extinguish a fire could compromise the safety of clients or staff members, the nurse should await the arrival of emergency fire personnel.
C. Sound the fire alarm
-incorrect: The nurse should sound the fire alarm to summon fire professionals to put out the fire and ensure safety in the facility; however, this is not the first action the nurse should take.
D. Activate the fire extinguisher
-incorrect: The nurse should attempt to extinguish the fire safely if possible; however, this is not the first action the nurse should take.
A nurse is admitting a client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following actions should the nurse take?
A. Establish client outcomes
-The planning phase of the nursing process includes developing goals and outcomes that help the nurse create the client’s plan of care.
B. Collect information about past health problems
-incorrect: The nurse should collect information about the client’s past health problems during the assessment phase of the nursing process.
C. Determine whether the client has met specific goals
-incorrect: The nurse should determine whether the client has met goals during the evaluation phase of the nursing process.
D. Identify the client’s specific health problems
-incorrect: The nurse should identify the client’s specific health problems during the analysis phase of the nursing process. [Show Less]