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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Determining whether the client can afford the insulin administration supplies is a priority to ensure that the client can effectively manage their diabetes.

Access to supplies is crucial for adherence to the treatment plan. Financial considerations directly impact the client's ability to follow through with prescribed treatments.

Choice B rationale:

Providing the client with the contact number for a diabetes education specialist is important but is a subsequent step after addressing the immediate concern of affordability.

Choice C rationale:

Making a copy of the medication reconciliation form is a part of the documentation process but is not the first priority. While documentation is essential, addressing immediate needs takes precedence.

Choice D rationale:

Obtaining printed information about insulin self-administration is important, but assessing affordability comes first to ensure the client can implement the education received. Understanding the client's financial capacity is foundational to effective diabetes management.

A. "Delirium does not affect a client's sleep cycle." B. "Delirium has a slow progression." C. "Delirium has an abrupt onset." D. "Delirium does not affect a client's perception of her environment."

Correct Answer is C

Explanation

Choice A rationale:
Delirium can affect a client's sleep cycle, often causing disturbances in sleep-wake patterns.

Choice B rationale:
Delirium typically has a rapid onset, not a slow progression.

Choice C rationale:
The correct statement is that delirium has an abrupt onset. Understanding this characteristic helps nurses recognize and address delirium promptly.

Choice D rationale:
Delirium can significantly impact a client's perception of the environment, leading to confusion and disorientation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?

Correct Answer is A

Explanation

A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?

Correct Answer is C

Explanation

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