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","D","E"]
Explanation
Choice A rationale:
Having a fire escape plan is an essential aspect of home safety.
Choice B rationale:
Setting the hot water heater to 140 degrees Fahrenheit is too high and can cause burns. Therefore, this statement indicates a misunderstanding.
Choice C rationale:
Applying tape over frayed areas of electrical cords is unsafe and can lead to electrical hazards. Therefore, this statement indicates a misunderstanding.
Choice D rationale:
Using grab bars when getting in and out of the bathtub promotes safety and prevents falls.
Choice E rationale:
Checking medications for expiration dates is crucial to ensure their effectiveness and safety.
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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