A nurse is caring for a client who has a tracheostomy and requires suctioning. Identify the sequence of steps the nurse should follow after applying sterile gloves. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Rationale:

A. Remove the safety inspection sticker before plugging in the IV pump: The safety inspection sticker confirms that the device has passed required safety checks. It should remain visible to indicate the equipment is safe for use and up to date with biomedical inspections.

B. Ensure that the electric outlet has two prongs for the IV pump: Medical devices like IV pumps should be plugged into grounded three-prong outlets to reduce the risk of electrical shock. Two-prong outlets are not suitable for hospital-grade equipment.

C. Grasp the IV pump cord when unplugging it from the electrical outlet: Pulling on the cord instead of the plug can damage the wiring and increase the risk of electrical hazard or equipment failure. The plug itself should be held when disconnecting from the outlet.

D. Check the cords of the IV pump for fraying: Inspecting cords for damage such as fraying is a critical safety check before use. Damaged cords pose a serious fire and shock risk and should be reported and repaired before using the device.

Rationale:

A. Trochanter roll: A trochanter roll is used to prevent external rotation of the hips in clients who are immobile. It does not support the feet or ankles and therefore does not prevent plantar flexion contractures.

B. Footboard: A footboard helps maintain the foot in a dorsiflexed, neutral position by providing firm support against the soles. This prevents foot drop, a common plantar flexion contracture in clients with limited mobility.

C. Sheepskin heel pad: Sheepskin heel pads protect the heels from pressure ulcers by reducing friction and shear but do not maintain ankle alignment or prevent plantar flexion of the feet.

D. Abduction pillow: An abduction pillow is placed between the legs to maintain hip alignment after procedures like hip replacement. It offers no support to the feet and does not prevent plantar flexion.