The nurse teaches burn prevention to a community group. Which statement by a member of the group should cause the nurse the greatest concern?
a. "I get my chimney swept every other year."
b. "My hot water heater is set at 120 degrees."
c. "Sometimes I wake up at night and smoke."
d. "I use a space heater when it gets below zero."
ANS: C
House fires are a common occurrence and often lead to serious injury or death. The nurse should be most concerned about a person who wakes up at night and smokes. The nurse needs to question this person about whether he or she gets out of bed to do so, or if this person stays in bed, which could lead to falling back asleep with a lighted cigarette. Although it is recommended to have chimneys swept every year, skipping a year does not pose as much danger as smoking in bed, particularly if the person does not burn wood frequently. Water heaters should be set below 140 ° F. Space heaters should be used with caution, and the nurse may want to ensure that the person does not allow it to get near clothing or bedding.
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