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Emergency Procedures

The nurse aide is caring for a client who is receiving oxygen when a fire breaks out in the room. What SHOULD the nurse aide do?

From CNA Skills Test practice pdf

Answer choices

  1. A Close the door of the room
  2. B Call for help and put the fire out
  3. C Open the window in that room
  4. D Turn off the oxygen and remove the client

Correct answer: D. Turn off the oxygen and remove the client

Clinical Rationale

Turn off the oxygen and remove the client.

In the event of a fire, the priority is to ensure the safety of the client by minimizing the risk of further ignition and exposure to flames. Turning off the oxygen supply reduces the flammability of the environment, and removing the client from the danger zone is critical for their safety.

A) Close the door of the room

While closing the door may help contain the fire, it does not address the immediate danger posed to the client who is receiving oxygen. If the fire spreads, the oxygen can exacerbate the flames, increasing the risk of serious harm to the client.

B) Call for help and put the fire out

Although calling for help is an important step, attempting to extinguish the fire can be dangerous, especially in a room with an oxygen supply. The priority should be to secure the client's safety first by turning off the oxygen and evacuating them from the area.

C) Open the window in that room

Opening a window may seem like a way to ventilate smoke, but it can also introduce fresh air that could feed the fire, particularly in the presence of oxygen. This action does not effectively protect the client and may increase the risk of harm.

Conclusion

In a fire emergency involving a client on oxygen, the nurse aide must prioritize the client's safety by turning off the oxygen and evacuating them immediately. This action minimizes the risk of fire escalation due to increased oxygen levels, ensuring the client is removed from harm's way. Effective emergency response requires decisive actions that protect individuals in peril while managing the potential dangers of the environment.

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