A nurse is getting ready to administer intravenous fluids.
Which of the following actions should the nurse take to prevent electrical hazards?
Unplug the cord by holding the plug.
Ensure the plug has three prongs.
Avoid rolling equipment over extension cords.
Plug in the pump close to the socket.
Plug in the pump close to the socket.
The Correct Answer is B
Choice A rationale
Unplugging the cord by holding the plug is a good practice to prevent electrical hazards, but it is not the most important action when administering intravenous fluids.
Choice B rationale
Ensuring the plug has three prongs is the most important action to prevent electrical hazards when administering intravenous fluids. A three-prong plug is grounded and reduces the risk of electrical shock.
Choice C rationale
Avoiding rolling equipment over extension cords is a good practice to prevent electrical hazards, but it is not the most important action when administering intravenous fluids.
Choice D rationale
Plugging in the pump close to the socket is a good practice to prevent electrical hazards, but it is not the most important action when administering intravenous fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Placing the client in a supine position is not recommended during nasogastric tube insertion. The client should be in an upright position, such as sitting up or in a high Fowler’s position, to facilitate the passage of the tube and reduce the risk of aspiration.
Choice B rationale
Withdrawing the tube if the client gags during insertion is not the correct action. Gagging is a common reaction during nasogastric tube insertion. The nurse should pause and allow the client to rest and swallow. The tube should only be withdrawn if the client is unable to breathe or is extremely distressed.
Choice C rationale
Instructing the client to place his chin to his chest and swallow can facilitate the passage of the tube through the esophagus. This position closes off the trachea and opens the esophagus, reducing the risk of the tube entering the trachea.
Choice D rationale
Measuring the tube for insertion from the tip of the nose to the umbilicus is not the correct method. The correct measurement is from the tip of the nose to the earlobe and then down to the xiphoid process of the sternum.
Correct Answer is B
Explanation
Choice A rationale
Airborne precautions are used for diseases that are spread by tiny droplets caused by coughing and sneezing. HIV is not spread through the air, so airborne precautions are not necessary.
Choice B rationale
Standard precautions are used for all patient care. They’re based on the principle that all blood, body fluids, secretions, excretions except sweat, non-intact skin, and mucous membranes may contain transmissible infectious agents. HIV is transmitted by direct or indirect contact with infected blood or body fluids. Therefore, the nurse should plan to implement standard precautions when caring for this patient.
Choice C rationale
Droplet precautions are used for diseases that are spread by large droplets caused by coughing, sneezing, talking, or procedures such as suctioning and bronchoscopy. HIV is not spread through these methods, so droplet precautions are not necessary.
Choice D rationale
Contact precautions are used for diseases that are spread by direct contact with the patient or indirect contact with environmental surfaces or patient care items. HIV is not spread through casual contact, so contact precautions are not necessary.
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