In the event of a fire alarm sounding in a skilled nursing facility, what immediate action should the nurse take to ensure safety?

In the context of a fire alarm sounding in a skilled nursing facility, the immediate and most critical action is to ensure the safety of all residents, especially those who are most vulnerable, such as bedridden clients. Moving these individuals via stretcher ensures they are evacuated safely and promptly, as they may not be capable of walking on their own or responding to evacuation measures quickly.

This action directly addresses the immediate risk posed by the fire alarm, prioritizing the physical safety of clients who cannot evacuate independently. It emphasizes the nurse's role in facilitating a safe environment by attending to the specific needs of those most at risk during emergency situations. Ensuring the safety and security of bedridden clients helps to minimize chaos and confusion during a potentially overwhelming situation, which is paramount in disaster planning and response protocols.

Other actions, while important, may not respond to the immediate need for evacuation and personal safety as effectively as moving those who are bedridden.