A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency.

Correct Answer: D

Rationale: Correct Answer: D (Rescue the clients) Rationale: In a fire emergency, the top priority is to ensure the safety of individuals by rescuing them. Once the clients are safe, the nurse can proceed to other steps like pulling the fire alarm, confining the fire, and extinguishing it. By rescuing the clients first, the nurse minimizes the risk of harm and ensures everyone's safety. Summary of Incorrect Choices: A (Pull the fire alarm): While important, pulling the fire alarm should come after rescuing the clients to alert others and initiate the fire safety protocol. B (Confine the fire): Confining the fire is crucial but should be done after ensuring everyone's safety through rescue. C (Extinguish the fire): Extinguishing the fire is essential, but it should not be the first step as the priority is to rescue individuals from harm.

Correct Answer: A

Rationale: The correct answer is A: Gather data about the nurse's work performance and attendance history. This is the first step because it allows the nurse manager to assess the situation comprehensively before taking any action. By gathering data, the nurse manager can determine the extent of the issue, whether it is an isolated incident or a pattern of behavior. This information will help in making an informed decision on how to proceed. Approaching the nurse (B) directly may not be appropriate without first understanding the full context of the situation. Notifying the risk manager (C) is premature without knowing the full extent of the issue. Referring the nurse to the board of nursing diversion program (D) should only be considered after gathering all relevant information about the nurse's actions.

Correct Answer: C

Rationale: The correct answer is C because as an RN, the responsibility should be assumed for the client who is actively dying and requires IV pain medication. This client's condition is critical and requires the expertise and assessment skills of an RN to manage pain effectively. RNs have the knowledge and training to administer IV medications safely and to monitor the client's response closely. Choices A, B, and D can be safely managed by other team members such as LPNs or assistive personnel, as they do not require the specialized skills and assessment capabilities of an RN for immediate care.

Correct Answer: B

Rationale: The correct answer is B: Demonstrate using the device and observe the staff returning the demonstration. This teaching strategy is the most effective because it incorporates both visual and hands-on learning, allowing the nurses to see the correct way to use the device and then practice it themselves under observation. This method is more engaging and interactive, leading to better retention and understanding. A: Providing a written procedure alone may not be as effective as hands-on demonstration for learning how to use a new device. C: Reminding staff to review the procedure manual is passive and may not ensure proper understanding and competency. D: Identifying differences in a written brochure may not be as effective as a demonstration in teaching the correct usage of the device.

Correct Answer: A

Rationale: The correct answer is A because holding disaster drills on a regular basis is essential for preparedness and practice. Regular drills help ensure that staff are familiar with protocols and can respond effectively during a real disaster. Choice B is incorrect because while drills are important, they cannot fully replicate the chaos and urgency of a real disaster situation. Choice C is incorrect because typically an incident commander should be a designated leader with specific training and experience in disaster management, not just a staff nurse. Choice D is incorrect because triaging victims is usually done by trained personnel such as nurses or emergency medical technicians, not necessarily by physicians.