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 D
Explanation
Choice A rationale:
The client's age is not a part of the measurement in the Braden scale.
Choice B rationale:
Each element in the Braden scale has a range from one to four points, except for friction and shear, which is scored from one to three points.
Choice C rationale:
The lower the score, the higher the risk of developing pressure injuries.
Choice D rationale:
The Braden scale is a tool that helps nurses assess the risk of developing pressure injuries in clients. It consists of six elements: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
Correct Answer is B
Explanation
Choice A rationale:
Laughing at a television show is not a direct indicator of the effectiveness of the warm, moist compress in relieving lower back pain.
Choice B rationale:
Intact skin on the lower back without redness indicates that the compress has been effective in preventing skin damage or irritation.
Choice C rationale:
The ability to concentrate while reading may not be a specific indicator of the effectiveness of the warm compress in relieving lower back pain.
Choice D rationale:
Vital signs within the expected reference range are important but do not directly reflect the effectiveness of the warm compress in relieving pain.
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