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While making rounds at 3 am, the nurse discovers a small fire in a client's room. What should the nurse do first?

  • A. Remove the client from the room immediately.
  • B. Leave the client's room to obtain a fire extinguisher.
  • C. Instruct a nurse tech to pull the fire alarm.
  • D. Evacuate all clients from the unit.
Correct Answer: A

Rationale: During a fire emergency, the priority is the safety of the individual in the room where the fire is located. Removing the client from the room immediately is the first step in the RACE acronym for fire safety: Rescue/Remove, Alarm, Contain, and Extinguish. This action ensures the client's safety before addressing the fire itself. Choice B is incorrect as leaving the client's room to obtain a fire extinguisher can delay the immediate removal of the client from the danger. Choice C is incorrect as pulling the fire alarm should be done after ensuring the client's safety. Choice D is incorrect as evacuating all clients from the unit should come after ensuring the safety of the individual in immediate danger.