Some workers accidentally cause an electrical fire when installing a new piece of equipment in the intensive care unit. A patient is on a ventilator in the next room. What is the nurse's priority action?
a. Pull the fire alarm.
b. Attempt to extinguish the fire.
c. Call the physician to obtain orders to take the patient off the ventilator.
d. Use an Ambu-bag and remove the patient from the area.
D
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A The first action of the nurse is not to pull the fire alarm. The workers could do that.
B The workers can attempt to extinguish the fire. The nurse should attend to the patient who is closest to the fire in the next room.
C The nurse should not call the physician to obtain orders to take the patient off the ventilator, as this will take valuable time. The patient must be moved away from the fire and the source of oxygen must be discontinued, as it is combustible. The patient will have to be manually resuscitated with an Ambu-bag.
D If there is a fire and the patient is on life support, the nurse should maintain the patient's respiratory status manually with an Ambu-bag and move the patient away from the fire.
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