While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device.
Which of the following actions should the nurse take first?
Report the defect to the equipment maintenance staff.
Remove the device from the room.
Initiate a requisition for a replacement CPM device.
Ensure the device inspection sticker is current.
The Correct Answer is C
Remove the device from the room.
This is because a frayed electrical cord poses a safety hazard for the client and the nurse, and could cause electrocution, fire, or malfunction of the device.
The nurse should remove the device from the room and notify the equipment maintenance staff to prevent further harm.
Choice A is wrong because reporting the defect to the equipment maintenance staff is not the first action the nurse should take.
The nurse should first ensure the safety of the client and themselves by removing the device from the room.
Choice B is wrong because ensuring the device inspection sticker is current is not relevant to the situation.
The inspection sticker does not guarantee that the device is safe or functional, and it does not address the immediate safety concern of the frayed cord.
Choice D is wrong because initiating a requisition for a replacement CPM device is not a priority action.
The nurse should first remove the device from the room and report the defect to the equipment maintenance staff.
The nurse can then request a replacement device if needed.
A continuous passive motion (CPM) device is a machine that moves a joint through a controlled range of motion to prevent stiffness and promote healing after surgery or
injury. The normal range of motion depends on the joint and the individual, but generally, the device should be adjusted to achieve at least 90 degrees of flexion and extension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because rubella is a highly contagious viral infection that can cause serious harm to the developing fetus if the pregnant person gets infected. Rubella can cause congenital rubella syndrome, which can result in hearing and vision loss, heart defects and other serious conditions in newborns.
Choice A is wrong because aspirin should not be given to children or adolescents with viral infections, as it can cause Reye’s syndrome, a rare but potentially fatal condition that affects the liver and brain.
Choice C is wrong because rubella does not require airborne precautions, which are used for diseases that can spread through very small droplets that can remain in the air for long periods of time, such as tuberculosis or measles. Rubella spreads through direct contact with saliva or mucus of an infected person, or through respiratory droplets from coughing or sneezing.
Therefore, standard and droplet precautions are sufficient to prevent transmission. Choice D is wrong because Koplik spots are a characteristic sign of measles, not rubella.
Koplik spots are small white spots that appear on the inside of the cheeks before the measles rash develops. Rubella causes a pink or red rash that usually starts on the face and moves down the body.
Normal ranges for rubella antibody tests are:
- IgM: Negative or less than 0.9 IU/mL
- IgG: Negative or less than 10 IU/mL
A positive IgM result indicates a recent or current infection, while a positive IgG result indicates a past infection or immunity from vaccination.
Correct Answer is D
Explanation
This is because bleeding after a cardiac catheterization is a possible complication that can occur when a catheter is inserted into an artery in the groin or arm to examine the heart. Bleeding can drip or spurt from the puncture site, or form a lump under the skin called a hematoma. Applying continuous pressure above the site can help stop the bleeding and prevent hematoma formation.
Choice A is wrong because applying intermittent pressure 2.5 cm (1 in) above the percutaneous skin site may not be enough to control the bleeding and may increase the risk of hematoma.
Choice B is wrong because applying intermittent pressure 2.5 cm (1 in) below the percutaneous skin site may not be effective and may cause more damage to the artery.
Choice C is wrong because applying continuous pressure 2.5 cm (1 in) below the percutaneous skin site may also be ineffective and harmful to the artery.
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