A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?

Correct Answer: D

Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.

Correct Answer: B

Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for skin health and wound healing. Carbohydrates provide energy for the body's healing processes. Skin breakdown can be prevented by ensuring the client has a well-balanced diet. A: Placing the client in high-Fowler's position is not directly related to preventing skin breakdown in this scenario. C: Massaging areas of skin that are darker than the surrounding skin tissue with lotion may cause more harm than good, as it can increase the risk of skin breakdown. D: Having the client use a trapeze bar when changing position is important for mobility but does not directly address the prevention of skin breakdown.

Correct Answer: C

Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition. Summary: A: Incident report completed - Not relevant to documenting the client's actions during the fall. B: Client climbed over the side rails - Assumes an action not reported by the roommate. D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.

Correct Answer: A

Rationale: The correct answer is A because limiting sodium intake to 2 grams daily is crucial for managing heart failure by reducing fluid retention and strain on the heart. This statement shows understanding of dietary restrictions to manage the condition effectively. Choice B is incorrect because while monitoring weight is important for heart failure, it does not specifically demonstrate understanding of the teaching provided. Choice C is incorrect because decreasing potassium intake is not recommended for heart failure management unless specifically advised by a healthcare provider. Choice D is incorrect as it mentions a positive dietary change, but does not address the key issue of sodium intake, which is essential for managing heart failure.

Correct Answer: B

Rationale: The correct answer is B: Development of specialty care disciplines. During the 1960s-1980s, nursing saw significant advancements as specialty care disciplines emerged, leading to improved patient care and enhanced skills among nurses. Specialty care disciplines expanded nursing knowledge and expertise, allowing for tailored and specialized care for specific patient populations. This shift towards specialization elevated the status of nursing and promoted better outcomes for patients. Summary: - A: Decreased demand for health care is incorrect as the period actually saw an increased demand due to population growth and advancements in medical treatments. - C: Gender discrimination, while a significant issue in nursing history, did not directly contribute to advances in nursing during this specific time period. - D: Advances in technology did impact nursing care, but it did not lead to more generalized care; instead, it often facilitated the development of specialized care disciplines.