A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Unplug the pump.
Notify the biomedical department to fix the pump.
Label the pump with a defective equipment sticker.
Obtain a replacement pump.
The Correct Answer is A
Choice A rationale:
Unplugging the pump is the first action to eliminate the immediate risk of sparks and prevent potential electrical hazards.
Choice B rationale:
Notifying the biomedical department is important but should be done after ensuring the immediate safety of the client.
Choice C rationale:
Labeling the pump with a defective equipment sticker is appropriate but does not address the immediate risk.
Choice D rationale:
Obtaining a replacement pump is a reasonable step, but unplugging the malfunctioning pump takes precedence to prevent any electrical hazards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Applying a bath blanket between the client and a cooling blanket helps prevent direct contact, reducing the risk of chilling or discomfort. This method facilitates gradual cooling in cases of high fever.
Choice B rationale:
Covering the client with heavy blankets after shivering subsides is not appropriate during active cooling efforts for a high fever.
Choice C rationale:
Placing ice packs on the neck and behind the knees can be too aggressive and may lead to vasoconstriction, limiting the effectiveness of heat dissipation.
Choice D rationale:
Giving a sponge bath with an alcohol-water solution is not recommended, as alcohol can lead to skin dryness and increased heat loss.
Correct Answer is A
Explanation
Choice A rationale:
Helping the client find a local support group is an appropriate intervention. Support groups provide emotional support, shared experiences, and coping strategies for individuals facing terminal illness, promoting a sense of community.
Choice B rationale:
Discussing the client's prior coping mechanisms is relevant and can provide insight into effective strategies. However, it might not be the first step in the immediate response to a new diagnosis of terminal cancer.
Choice C rationale:
Developing a list of goals with the client might be premature at this stage, as the client may need time to process the diagnosis and express their concerns and priorities.
Choice D rationale:
Teaching the client to use progressive relaxation techniques is a valuable intervention for managing anxiety and promoting relaxation. However, immediate emotional support and connection through a support group may be more appropriate initially.
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