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 B
Explanation
Choice A rationale:
Placing an oval corn pad over toes and removing it weekly may increase the risk of infection and skin breakdown. Continuous use of pads can trap moisture, potentially leading to complications for individuals with diabetes.
Choice B rationale:
Applying lotion to soften calluses without putting lotion between the toes is correct. Moisturizing can help prevent dry skin, but it's essential to avoid moisture between the toes to prevent fungal infections. The emphasis on proper foot care aligns with diabetes management, where foot health is crucial.
Choice C rationale:
Using over-the-counter liquid medication to remove corns without professional guidance can lead to complications and skin damage. It's important to involve healthcare providers in the management of foot issues in individuals with diabetes.
Choice D rationale:
Soaking feet in warm water daily can contribute to moisture, increasing the risk of fungal infections. It's generally not recommended for individuals with diabetes, emphasizing the importance of avoiding excessive moisture.
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.
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