On entering the client's room, the nurse sees a fire burning in the trash can next to the bed. The nurse removes the client and calls the fire alarm. The next action of the nurse is to:
A. Extinguish the fire
B. Remove all of the other clients from the unit
C. Close all the doors of client rooms
D. Move the trash can into the bathroom
C
C. The next action the nurse should take is to confine the fire by closing doors and windows and turning off oxygen and electrical equipment.
A. The nurse should extinguish the fire by using an extinguisher after closing the doors of the client rooms.
B. After activating the alarm, the nurse should close all the doors, not remove all of the other clients from the unit.
D. This would not be an appropriate action, as the nurse could get burned in attempting to move the trash can.
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The nurse notes that the specific gravity of urine is lower in infants than in older children. The nurse recognizes that the rationale for this difference is related to:
1. The infant having a greater body surface area. 2. The infant having a higher basal metabolic rate. 3. The infant having a greater percentage of body weight that is water. 4. The infant's kidneys being less able to concentrate urine.
A mother brings her 9-year-old daughter to the family practice clinic. She is worried because the daughter already has definite breast buds and is asking to wear a bra. What response by the nurse is best?
A. "At what age did you develop breast buds or start menstruating?" B. "Does anyone in your family have a history of precocious development?" C. "The average age for breast budding is 9.8 years, so she is normal." D. "This is too early for breast buds; she may need endocrine studies."
The nurse instructs a patient on the use of a metered-dose inhaler for asthma medications. To demonstrate understanding of the instructions, in which order should the patient self-administer this medication?
1. Rinse the mouth. 2. Exhale slowly and completely. 3. Shake the canister vigorously for 3 to 5 seconds. 4. Press and hold the canister down while inhaling deeply and slowly for 3 to 5 seconds. 5. Hold the breath for 10 seconds, release the pressure on the container, remove from the mouth, and exhale.
The nurse explains to a client who is taking oral contraceptives that these drugs can cause
1. thrombophlebitis. 2. hypotension. 3. weight loss. 4. pregnancy.