Which is the role of the nurse regarding a malfunctioning IV pump?

Clean the fixed IV pump and return it to the floor.

Tag the IV pump and remove it from the area.

Contact the IV pump manufacturer.

Initiate a work order on the IV pump.

Answer and Explanation

The Correct Answer is B

Choice A reason: This is incorrect. Cleaning the fixed IV pump and returning it to the floor can cause harm to the patient or the staff if the pump is used again.

Choice B reason: This is correct. Tagging the IV pump and removing it from the area prevents the pump from being used by mistake and alerts the maintenance staff to repair or replace it.

Choice C reason: This is incorrect. Contacting the IV pump manufacturer is not the role of the nurse. The nurse should report the malfunction to the appropriate person in the facility.

Choice D reason: This is incorrect. Initiating a work order on the IV pump is not enough to ensure the safety of the patient and the staff. The pump should be tagged and removed from the area as well.

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Correct Answer is B

Explanation

Choice A reason: This is incorrect. Total urinary incontinence related to inability to feel urge to urinate is not appropriate for a patient with xerostomia. Xerostomia is the condition of having a dry mouth due to reduced or absent saliva production. It does not affect the urinary system or the sensation of bladder fullness.

Choice B reason: This is correct. Impaired oral mucous membranes related to decreased salivation and dry mouth is appropriate for a patient with xerostomia. Xerostomia can cause oral mucous membranes to become dry, cracked, inflamed, or infected. It can also affect the patient's ability to chew, swallow, speak, or taste.

Choice C reason: This is incorrect. Bathing self-care deficit related to inability to perceive left-sided body parts is not appropriate for a patient with xerostomia. Xerostomia does not affect the patient's perception of body parts or the ability to perform bathing activities.

Choice D reason: This is incorrect. Disturbed sensory perception related to feeling of electric pain in feet and hands is not appropriate for a patient with xerostomia. Xerostomia does not cause electric pain in the extremities. This symptom may be related to a nerve disorder, such as peripheral neuropathy.

A. "Did someone come to the hospital with you?" B. "When did your chest pain begin?" C. "Did your family doctor tell you to come to the hospital?" D. "Do you have a family history of heart disease?"

Correct Answer is B

Explanation

Choice A reason: This is not the most important question for the nurse to ask the patient who has just arrived at the hospital with chest pain because it is not relevant, open-ended, or comprehensive. The nurse should not ask questions that are not related to the patient's health status, needs, or goals, but rather focus on the patient's chief complaint, history of present illness, and past medical history.

Choice B reason: This is the most important question for the nurse to ask the patient who has just arrived at the hospital with chest pain because it is relevant, open-ended, and comprehensive. The nurse should ask questions that are related to the patient's health status, needs, or goals, and that elicit more information from the patient. This question allows the patient to describe the onset, duration, and frequency of their chest pain, which can help the nurse to assess the possible cause and severity of the problem.

Choice C reason: This is not the most important question for the nurse to ask the patient who has just arrived at the hospital with chest pain because it is not relevant, open-ended, or comprehensive. The nurse should not ask questions that are not related to the patient's health status, needs, or goals, but rather focus on the patient's chief complaint, history of present illness, and past medical history.

Choice D reason: This is not the most important question for the nurse to ask the patient who has just arrived at the hospital with chest pain because it is not relevant, open-ended, or comprehensive. The nurse should not ask questions that are not related to the patient's health status, needs, or goals, but rather focus on the patient's chief complaint, history of present illness, and past medical history.

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Which is the role of the nurse regarding a malfunctioning IV pump?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing diagnosis is most appropriate for a patient with xerostomia?

Correct Answer is B

Explanation

Which is the most important question for the nurse to ask the patient who has just arrived at the hospital with chest pain?

Correct Answer is B

Explanation

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