A nurse is caring for a client and notices fraying on the electrical cord of the client fall. The charge nurse should identify that which of the following nurse to take?

Request a replacement IV pump.

Remove the IV pump from the client's room.

Check the expiration date of the inspection sticker.

Report the problem to the engineering team.

None

Answer and Explanation

The Correct Answer is B

A. While obtaining a replacement is necessary, the immediate priority is ensuring client safety by removing the hazardous equipment first.

B. A frayed electrical cord poses a safety hazard, including the risk of electrical shock, fire, or equipment malfunction. The first priority is to remove the faulty equipment from the client’s environment to prevent potential harm. After removing the IV pump, the nurse should report the issue to the appropriate department, such as engineering or biomedical services, for repair or replacement.

C. This does not directly address the safety risk posed by the frayed cord.

D. While reporting is necessary, the first action should be to remove the unsafe equipment to eliminate immediate danger.

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Correct Answer is B

Explanation

A. Reposition the client frequently: While repositioning is important for preventing pressure ulcers and maintaining comfort, it may not be the priority immediately postoperatively compared to other interventions.
B. Instruct the client to use the incentive spirometer: This is the correct answer. Incentive spirometry helps prevent atelectasis and respiratory complications postoperatively, making it a priority intervention to include in the plan of care.
C. Increase the amount of time the client spends out of bed each day: Early ambulation is important for preventing complications such as deep vein thrombosis and pneumonia, but it may not be the priority immediately postoperatively depending on the client's condition and surgical procedure.
D. Ensure the client consumes an adequate amount of fluids: While hydration is important for postoperative recovery, ensuring adequate fluid intake may not be the priority compared to interventions aimed at preventing respiratory complications such as atelectasis.

A. Observe staff medication administration procedures. B. Require staff to complete a medication administration review module. C. Identify data that should be collected related to medication errors. D. Re-evaluate staff performance in relation to the established standard.

Correct Answer is C

Explanation

A. Observe staff medication administration procedures: While observation can provide valuable insights into workflow and potential areas for improvement, it may not address the underlying causes of medication errors or provide comprehensive data for quality improvement efforts.
B. Require staff to complete a medication administration review module: Education and training are important components of improving medication safety, but they may not be the most
immediate or effective response to addressing an elevated rate of medication errors.

C. Identify data that should be collected related to medication errors: This is the correct answer.

Before implementing interventions to address medication errors, it is important to gather comprehensive data on the types, causes, and frequency of errors. This data will help identify specific areas for improvement and guide the development of targeted interventions.
D. Re-evaluate staff performance in relation to the established standard: While ongoing evaluation of staff performance is important for maintaining quality care, it may not be the most appropriate first step when addressing an elevated rate of medication errors. Gathering data on medication errors and their contributing factors is essential for understanding the root causes of the problem and developing effective solutions.

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A nurse is caring for a client and notices fraying on the electrical cord of the client fall. The charge nurse should identify that which of the following nurse to take?

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Naxlex Comprehensive Predictor Exams

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