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Zorluk: OrtaAccident, Error, and Injury Prevention

A hospitalized client with bilateral lower extremity paralysis is receiving continuous wall oxygen therapy. The nurse notices electrical sparks and flames originating from a telemetry monitor plugged into the wall outlet next to the bed. Which actions should the nurse take to ensure environmental safety? (Select all that apply.)

  1. Evacuate the client immediately to a safe area beyond the fire doors.Cevap
  2. Activate the facility's fire alarm system using the nearest pull station.Cevap
  3. Turn off the oxygen flowmeter located on the wall near the client's bed.Cevap
  4. D
    Direct an unlicensed assistive personnel (UAP) to assess the client's respiratory status for smoke inhalation.
  5. E
    Secure the client's personal belongings and electronic devices before leaving the room.
  6. F
    Don an N95 particulate respirator mask before approaching the bed to prevent smoke inhalation.

Cevap

The correct actions are to immediately evacuate the client, activate the fire alarm, and turn off the oxygen source.
The standard fire safety protocol in healthcare facilities follows the RACE mnemonic. The immediate priority is rescuing the client from direct danger (Rescue). Activating the fire alarm is the necessary second step to initiate the facility's emergency response (Alarm). Furthermore, because oxygen vigorously supports combustion, shutting off the local oxygen source is a critical and immediate safety measure to prevent the fire from escalating rapidly or causing an explosion.

Adım Adım Çözüm

1
Identify the immediate environmental hazard.
An active electrical fire is occurring in close proximity to an oxygen source and an immobile client.
Recognizing the interplay between fire, oxygen, and client mobility dictates the urgency of the response.
2
Apply the standard fire safety mnemonic (R.A.C.E.).
Rescue (evacuate client), Alarm (activate pull station), Confine (close doors), Extinguish (if safe).
This standardized sequence ensures maximum life safety during a hospital fire.
3
Address the specific hazard of continuous oxygen therapy.
The oxygen flowmeter must be turned off immediately.
Oxygen accelerates combustion; shutting it off prevents the fire from intensifying uncontrollably.

Anahtar Kavram

Healthcare Fire Safety (R.A.C.E. Protocol) and Oxygen Hazards
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