A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?

Check the expiration date on the safety inspection sticker of the pump.

Verify that the extension cord for the pump is ungrounded.

Report the pump has a frayed cord and proceed with the infusion.

Obtain a surge protector that can accommodate the pump and several other appliances.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

(Correct Choice) Checking the expiration date on the safety inspection sticker of the pump is essential to ensure the equipment is functioning properly and safely. Using expired equipment can compromise the client's safety and the effectiveness of the treatment.

Choice B rationale:

Verifying that the extension cord for the pump is ungrounded is important for electrical safety. However, it is not the nurse's responsibility to do this. This action should be performed by a qualified electrician or facility maintenance personnel.

Choice C rationale:

Reporting the pump with a frayed cord is essential. However, it is not safe to proceed with the infusion in this situation. Using damaged equipment can lead to electrical hazards and compromise the client's safety.

Choice D rationale:

Obtaining a surge protector is important for protecting the pump and other electrical appliances from power surges. While this is a good practice, it is not the first action the nurse should take when preparing to initiate intravenous fluids.

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Correct Answer is A

Explanation

The correct answer is choiceA. Lift the penis so that it is perpendicular to the client’s body.

Choice A rationale:

Lifting the penis so that it is perpendicular to the client’s body straightens the urethra, making it easier to insert the catheter without causing trauma.

Choice B rationale:

While cleansing the tip of the penis in a circular motion is important for maintaining aseptic technique, it is not the specific action that facilitates the insertion of the catheter.

Choice C rationale:

Picking up the catheter 13 cm (5 in) from its tip is not a standard practice.The nurse should hold the catheter closer to the tip to maintain control and ensure accurate insertion.

Choice D rationale:

Inflating the catheter balloon before insertion can cause trauma to the urethra and is not recommended.The balloon should only be inflated once the catheter is correctly positioned in the bladder.

A. Use a syringe to allow the medications to flow by gravity. B. Flush the NG tube with 5 mL water. C. Dissolve the medications together. D. Add medication directly to enteral feeding.

Correct Answer is A

Explanation

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Nursing Test Bank

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A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?