Nokea
A nurse enters a client's room and sees smoke coming from the trash can. Which of the following actions should the nurse take first?
- A. Close the window
- B. Evacuate the room
- C. Call the fire department
- D. Attempt to extinguish the fire
Correct Answer: B
Rationale: The first action in a fire situation is to evacuate the room (RACE: Rescue, Alarm, Contain, Extinguish).
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A nurse is sitting with the partner of a client who recently died. Which of the following actions should the nurse take to facilitate mourning?
- A. Encourage the partner to ask for help when needed
- B. Suggest the partner avoid discussing their feelings
- C. Recommend immediate return to daily activities
- D. Advise the partner to remain strong
Correct Answer: A
Rationale: Encouraging the partner to ask for help fosters support and facilitates the grieving process.
A nurse is caring for a patient who is scheduled for cataract surgery. The client states, "I see just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?
- A. That's not a good idea; the surgery is necessary
- B. Share with me more about the thoughts that are concerning you
- C. You should trust your doctor's advice
- D. You can always reschedule the surgery later
Correct Answer: B
Rationale: Encouraging the client to share their thoughts helps the nurse understand the client's concerns and facilitates a supportive discussion.
A nurse is reviewing the lab report of a client who has been experiencing a fever for the last 3 days. What lab result indicates the client is experiencing fluid volume deficit (FVD)?
- A. Decreased hematocrit
- B. Increased BUN
- C. Increased hematocrit
- D. Decreased urine specific gravity
Correct Answer: C
Rationale: An increased hematocrit level indicates dehydration or fluid volume deficit.
A nurse is reviewing the medical records of a group of older adult clients. The nurse should identify which of the following as a risk factor for developing infections?
- A. Increased physical activity
- B. Lowered immune system function
- C. Regular health screenings
- D. Proper nutrition
Correct Answer: B
Rationale: Lowered immune system function in older adults increases susceptibility to infections.
A nurse is caring for a client who has a prescription for a narcotic medication. After administration, the nurse is left with an unused portion. What should the nurse do?
- A. Discard the medication in the trash
- B. Return the medication to the pharmacy
- C. Discard the medication with another nurse as a witness
- D. Store the medication for future use
Correct Answer: C
Rationale: Controlled substances should be discarded in the presence of another nurse to ensure accountability.