A nurse is caring for a client and notices fraying on the electrical cord of the client fall. The charge nurse should identify that which of the following nurse to take?

Request a replacement IV pump.

Remove the IV pump from the client's room.

Check the expiration date of the inspection sticker.

Report the problem to the engineering team.

None

Answer and Explanation

The Correct Answer is B

A. While obtaining a replacement is necessary, the immediate priority is ensuring client safety by removing the hazardous equipment first.

B. A frayed electrical cord poses a safety hazard, including the risk of electrical shock, fire, or equipment malfunction. The first priority is to remove the faulty equipment from the client’s environment to prevent potential harm. After removing the IV pump, the nurse should report the issue to the appropriate department, such as engineering or biomedical services, for repair or replacement.

C. This does not directly address the safety risk posed by the frayed cord.

D. While reporting is necessary, the first action should be to remove the unsafe equipment to eliminate immediate danger.

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Correct Answer is A

Explanation

A. Discuss the issue with the AP: This is the correct answer. Addressing the issue directly with the AP allows for immediate clarification of expectations and correction of behavior. It also provides an opportunity to understand any factors contributing to the deviation from protocol.
B. Reinforce facility protocols at the next staff meeting: While reinforcing facility protocols is important, addressing the issue directly with the individual involved should be the first step to ensure timely resolution and prevent further occurrences.
C. Notify the unit manager about the incident: Notifying the unit manager may be necessary if further action is required or if the issue cannot be resolved at the staff level. However, addressing the issue directly with the AP should be the initial step.
D. Alert the infection control department: Involving the infection control department may be necessary if there are concerns about potential infection control risks. However, discussing the issue with the AP allows for immediate action and clarification of expectations.

A. "I will remove a client's restraints every 2 hours." B. "A provider can write a prescription for restraints 'as needed'." C. "I need to tie the restraint to the part of the bed frame that moves." D. "I should tie the restraints using a square knot." E. None F. None

Correct Answer is A

Explanation

A. "I will remove a client's restraints every 2 hours." This is correct. Restraints should be removed every 2 hours (or more frequently, depending on policy) to assess the client's condition, provide comfort, and allow for repositioning and range of motion exercises.

B. "A provider can write a prescription for restraints 'as needed'." This is incorrect. A provider cannot write a prescription for restraints as "as needed" (PRN). A specific, time-limited order is required for each instance of restraint use.

C. "I need to tie the restraint to the part of the bed frame that moves." This is incorrect. Restraints should be tied to a stationary part of the bed frame that does not move. Tying restraints to moving parts (such as side rails) could lead to injury during bed movement.

D. "I should tie the restraints using a square knot." This is incorrect. A square knot is not recommended because it is difficult to untie in emergencies. A quick-release knot should be used to ensure that the restraints can be removed easily and quickly if necessary.

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A nurse is caring for a client and notices fraying on the electrical cord of the client fall. The charge nurse should identify that which of the following nurse to take?

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Naxlex Comprehensive Predictor Exams

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