A licensed practical/vocational nurse (LP/VN) is caring for a resident who has orders providing supervised smoking of cigarettes in the smoking area. The LP/VN rounds and smells smoke
He enters the client's room and finds the resident sitting up in bed and smoking while on a nasal cannula at 2 L/minute of oxygen. He has caught the top blanket of two blankets on fire (a small area of the blanket, 3 × 2 inches). Which priority action should the nurse provide?
A) Throw the full water pitcher onto the fire.
B) Turn off the oxygen concentrator; grab the cigarette, and put it in the sink next to the bed with running water.
C) Remove the blanket and place into sink with running water.
D) Call for help and assess and treat client.
Ans: B
Feedback:
The first best action in the scenario is to turn off the oxygen concentrator because oxygen potentiates the flames and get rid of the source of flame, the cigarette. The next action is to dump the full water pitcher onto the fire. If the nurse tried to remove the blanket while it is on fire, the nurse risks injuring him/herself. The nurse can remove the top blanket and other blankets, and client gown, etc. and place the blanket that was on fire in the sink with running water to ensure it stays out. The nurse can call for help, assess, and treat the client using first aid per institution policy and procedure.
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