The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. Immediately, the nurse assigns a nursing diagnosis of risk for injury with a goal for the patient to be safe
Which of the following actions should the nurse take first?
a. Activate the alarm.
b. Extinguish the fire.
c. Remove the patient.
d. Confine the fire.
ANS: C
Nurses use the mnemonic RACE to set priorities in case of fire. All of these interventions are necessary, but this patient is in immediate danger with the fire being over his head and should be rescued and removed from the situation.
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On rounds several hours later, Mrs. Clare is found not breathing, tangled, with her restraints around her neck. The LPN is a. Not at fault—she did not know Mrs. Clare was put in restraints b. Guilty of negligence c. Guilty of omission d. Not concerned; after all, Mrs. Clare is a 90-year-old woman with a DNR (do not resuscitate) order
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A patient who is taking doxycycline for a serious infection contacts the nurse to report anal itching. The nurse will contact the provider to discuss:
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Benefits of adequate dietary intake in patients with cancer include
a. decreased risk of hypertension. b. increased tolerance of therapy. c. prevention of metastasis of the disease. d. prevention of hair loss during chemothe-rapy.