A nurse is getting ready to use electrical equipment. What actions should the nurse take to avoid electrical dangers? (Select all that apply.)

Unplug the cord by grasping the plug.

Ensure the plug has three prongs.

Avoid rolling equipment over cords.

Plug in the pump away from the sink.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A Reason:

Unplug the cord by grasping the plug. This is a crucial safety measure to prevent damage to the cord and reduce the risk of electrical shock. Pulling on the cord itself can cause wear and tear, potentially exposing wires and creating a hazardous situation. By grasping the plug, the nurse ensures that the cord remains intact and safe to use.

Choice B Reason:

Ensure the plug has three prongs. A three-pronged plug includes a grounding prong, which is essential for safety. The grounding prong helps prevent electrical shock by providing a path for electrical current to return to the ground in case of a fault. Ensuring that the plug has three prongs is a basic but vital step in maintaining electrical safety.

Choice C Reason:

Avoid rolling equipment over cords. Rolling equipment over cords can damage the insulation and expose wires, increasing the risk of electrical shock or fire. This practice can also lead to tripping hazards. By avoiding this action, the nurse helps maintain the integrity of the cords and ensures a safer environment.

Choice D Reason:

Plug in the pump away from the sink. While this seems like a reasonable precaution, it is not always necessary if the outlet is properly grounded and equipped with a Ground Fault Circuit Interrupter (GFCI). GFCIs are designed to shut off electrical power in the event of a ground fault, providing protection against electrical shock. Therefore, this choice is less critical compared to the others.

Choice E Reason:

Do not run additional cords under carpeting. Running cords under carpeting can cause them to overheat and potentially start a fire. It also makes it difficult to inspect the cords for damage. By avoiding this practice, the nurse helps prevent potential fire hazards and ensures that cords remain in good condition.

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Correct Answer is C

Explanation

Choice A Reason:

Focusing the assessment on the unit and ignoring the needs of the hospital as a whole is not a viable approach. While it is important to address the specific needs of the unit, it is equally crucial to consider the broader context of the hospital. Ignoring the hospital’s overall needs can lead to fragmented care and inefficiencies. A holistic approach ensures that changes in the unit align with the hospital’s goals and resources.

Choice B Reason:

Hiring an outside consultant to oversee and manage the project can provide specialized expertise and an external perspective. However, this approach may not fully leverage the insights and experiences of the staff who are directly involved in patient care. Consultants can be valuable, but their role should complement, not replace, the active involvement of the unit’s staff.

Choice C Reason:

Engaging involved staff at all levels in the decision-making process is the best approach. This strategy aligns with complexity principles, which emphasize the importance of collaboration, shared decision-making, and leveraging the collective expertise of the team. Involving staff fosters a sense of ownership and commitment to the changes, leading to more effective and sustainable implementation. It also ensures that the adaptations are practical and directly address the needs of both patients and staff.

Choice D Reason:

Seeking a resolution from upper management may be necessary for securing resources and support, but it should not be the primary approach. Top-down directives can overlook the nuanced understanding and practical insights of frontline staff. Effective change management requires a bottom-up approach that engages those who are most familiar with the day-to-day operations and challenges of the unit.

A. “The patient must consent because the procedure is necessary for survival.” B. “Consent should not be forced.” C. “If the surgery is life-saving, we can proceed regardless of what the patient says.” D. “Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” E. “The patient has every right to refuse.”

Correct Answer is ["B","E"]

Explanation

Choice A Reason:

“The patient must consent because the procedure is necessary for survival.” This statement is incorrect because it implies that the necessity of the procedure overrides the patient’s autonomy. Informed consent is a fundamental ethical and legal requirement in healthcare. Patients have the right to make their own decisions about their treatment, even if refusing treatment may result in harm or death. Forcing consent undermines patient autonomy and can lead to legal and ethical issues.

Choice B Reason:

“Consent should not be forced.” This statement is correct and aligns with the principles of patient autonomy and informed consent. Forcing a patient to consent to a procedure violates their rights and can lead to ethical and legal complications. Healthcare providers must respect the patient’s decision, provide all necessary information, and support them in making an informed choice.

Choice C Reason:

“If the surgery is life-saving, we can proceed regardless of what the patient says.” This statement is incorrect. Even in life-saving situations, patients have the right to refuse treatment. There are very few exceptions to this rule, such as when a patient is deemed legally incompetent to make decisions. In such cases, a legal guardian or power of attorney may be involved. However, competent patients retain the right to refuse any medical intervention.

Choice D Reason:

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” This statement is inappropriate and unethical. Administering a sedative to obtain consent can be seen as coercive and does not respect the patient’s autonomy. It is important to address the patient’s concerns and anxiety through communication and support, rather than using medication to influence their decision.

Choice E Reason:

“The patient has every right to refuse.” This statement is correct and reflects the ethical principle of respect for patient autonomy. Patients have the right to make their own healthcare decisions, including the right to refuse treatment. Healthcare providers should ensure that patients are fully informed about their options and the potential consequences of their decisions, but ultimately, the decision rests with the patient.

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A nurse is getting ready to use electrical equipment. What actions should the nurse take to avoid electrical dangers? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is ["B","E"]

Explanation

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