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 in the fire. The next action of the nurse is to:
1. Extinguish the fire
2. Remove all of the other clients from the unit
3. Close all the doors of client rooms
4. Move the trash can into the bathroom
ANS: 3
The next action the nurse should take is to confine the fire by closing doors and windows and turning off oxygen and electrical equipment. The nurse should extinguish the fire using an extin-guisher after closing the doors of the client rooms. After activating the alarm, the nurse should close all the doors, not remove all of the other clients from the unit. Answer 4 would not be an appropriate action because the nurse could get burned in attempting to move the trash can.
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An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job "in a big city."
She is crying and says that she doesn't think she can stand being so lonely anymore but doesn't want to move back to her small home town and face her family and friends as a "failure." What is the nurse's first response? a. "Would you like me to call your family to assist you in deciding what is best for you to do?" b. "I am sure you will make friends once you find a steady job that you like." c. "Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?" d. "Let me give you a list of some social groups that might be of interest to you."
The nurse is performing a skin assessment on an older African American patient. Which findings would be considered normal for this patient? Standard Text: Select all that apply
1. Bluish gums 2. Many small, dark papules on the face 3. Purple, hard ,smooth area on the upper arm 4. Multiple skin tears with clear fluid drainage 5. Freckle-like pigmentation of the tongue borders
Nine of the 20 amino acids are considered essential because they
a. contain sulfur. b. are found only in animal proteins. c. cannot be manufactured by the body. d. are the only amino acids used to make body proteins.
The priority nursing diagnosis of a 45-year-old client with auditory hallucinations would be:
A) Risk for violence, self-directed or directed toward others. B) Impaired thought processes. C) Impaired verbal communication. D) Individual ineffective coping.