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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?

A.

Report the defect to the equipment maintenance staff.

B.

Remove the device from the room.

C.

Initiate a requisition for a replacement CPM device.

D.

Ensure the device inspection sticker is current.

Answer and Explanation

The Correct Answer is B

The correct answer is b. Remove the device from the room.

Choice A rationale:

  • Reporting the defect to the equipment maintenance staff is essential, but it's not the immediate priority. The primary concern is to eliminate the safety hazard posed by the frayed cord to prevent potential harm to the client and others.
  • Delaying the removal of the device could lead to electrical shock, fire, or other serious consequences.
  • Therefore, removing the device from the room takes precedence over reporting the defect.

Choice B rationale:

  • Removing the device from the room is the most appropriate first action because it:
    • Eliminates the immediate safety hazard.
    • Prevents potential harm to the client and others.
    • Protects the device from further damage.
    • Ensures the safety of the environment.
    • Demonstrates the nurse's prioritization of patient safety.

Choice C rationale:

  • Initiating a requisition for a replacement CPM device is necessary to ensure the client's continued treatment.
  • However, it's not the first action because it doesn't address the immediate safety concern.
  • The nurse should first remove the faulty device and then initiate the process for obtaining a replacement.

Choice D rationale:

  • Ensuring the device inspection sticker is current is a vital part of equipment maintenance.
  • However, it's not relevant to the immediate safety issue of the frayed cord.
  • The presence of a current inspection sticker doesn't guarantee the device's safety or functionality at that moment.
  • The nurse must prioritize removing the hazard and then follow up with appropriate documentation and reporting.


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Related Questions

Correct Answer is C

Explanation

Choice A reason:

"This test will be repeated when your baby is 2 months old. “This is a false statement. Newborn genetic screening is usually performed shortly after birth. The test is not typically repeated when the baby is 2 months old, as it is meant to detect conditions early on, allowing for prompt intervention and management if necessary.

Choice B reason:

"Your baby will be given 2 ounces of water to drink prior to the test."This is a false statement. The baby does not need to drink water before the newborn genetic screening test. The test is usually performed by collecting a small blood sample from the baby's heel, and there is no need for the baby to drink water beforehand.

Choice C reason:

"This test should be performed after your baby is 24 hours old. “This is the appropriate statement. The nurse should include the statement that newborn genetic screening should be performed after the baby is 24 hours old. Newborn genetic screening, also known as newborn screening or heel prick test, is a standard test performed on newborns to detect certain genetic, metabolic, and congenital disorders early on. The test is typically done by pricking the baby's heel to collect a small sample of blood, which is then analysed in a laboratory.

Choice D reason:

"A nurse will draw blood from your baby's inner elbow. “This is a false statement. The correct location for collecting the blood sample for newborn genetic screening is the baby's heel. The nurse will prick the baby's heel to obtain a few drops of blood, which will then be collected on a special filter paper for laboratory analysis.

Correct Answer is ["B","C","E"]

Explanation

B, C, and E. The nurse should include the following statements in the teaching:.

    • You should eat foods that are low in fat. A low-fat diet can help reduce the amount of digestive enzymes your pancreas releases and prevent further inflammation and pain.
    • Notify your provider if you experience vomiting or diarrhea. These symptoms can lead to dehydration and malnutrition, which can worsen your condition and require hospitalization.
    • You should eat foods high in protein. Protein can help your body heal and repair damaged tissues. It can also prevent muscle wasting and weight loss, which are common complications of chronic pancreatitis.

Choice A is wrong because caffeine can stimulate the pancreas and increase pain and inflammation. Choice D is wrong because alcohol can damage the pancreas and trigger more attacks. People with chronic pancreatitis should avoid alcohol completely.

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