A nurse is caring for a client who is receiving medication via an infusion pump. The nurse notices the pump did not infuse the medication over the programmed amount of time. Which of the following actions should the nurse implement?
Report pump malfunction to Clinical Engineering.
Closely monitor the pump during next medication administration.
Return infusion pump to the equipment storage room.
Document incident report in the client's electronic medical record.
The Correct Answer is A
A. Reporting the pump malfunction to Clinical Engineering ensures the equipment is evaluated and repaired or replaced, preventing future medication errors and ensuring patient safety.
B. Closely monitoring the pump during the next administration is reactive and does not address the current malfunction or prevent future errors.
C. Returning the pump to storage without reporting the malfunction leaves the faulty equipment available for use, risking patient safety.
D. Documenting an incident report should occur, but not in the client’s electronic medical record. Incident reports are typically separate from the medical record and are used for quality improvement, not individual documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
A. Reviewing an electronic list of admitted clients is not a breach of confidentiality as long as the nurse has a legitimate reason for accessing the information for patient care purposes.
B. Logging out of the computer before leaving the workstation demonstrates proper protection of electronic health information and is not a breach.
C. Discussing a client’s condition in a public area where a visitor can overhear constitutes a breach of confidentiality because private health information is exposed to unauthorized individuals.
D. Faxing data to a referred provider is appropriate if done securely and only to the intended recipient as part of care coordination. It does not breach confidentiality.
E. Informing a friend of the client’s condition is a clear breach of confidentiality because health information is being shared with someone who is not authorized to receive it.
Correct Answer is D
Explanation
A. Running on a treadmill is part of a stress test, not a pulmonary function test (PFT), so this statement reflects a misunderstanding of the procedure.
B. Contrast dye is used in imaging studies such as CT scans or angiography, not in standard pulmonary function testing.
C. Inserting a tube into the airway refers to procedures like bronchoscopy or intubation, which are invasive and not part of routine PFTs.
D. Wearing a nose clip is a common component of pulmonary function testing to ensure that all airflow is measured through the mouth. This statement demonstrates that the client understands the noninvasive steps of the test.
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