A nurse is inspecting a client's IV pump prior to use. Which of the following findings should the nurse tag and report as a safety hazard?
The electrical cord is taped to the floor.
The electrical plug has two prongs.
The IV pump is plugged into an unused outlet.
The IV pump has a free-flow protective device.
The Correct Answer is B
Choice A reason: Taping the cord to the floor is not ideal, but it is not an immediate safety hazard if done to prevent tripping. It should be monitored, but it does not require tagging the pump.
Choice B reason: An electrical plug with only two prongs is unsafe because medical equipment requires a three-prong grounded plug to reduce the risk of electrical shock. This is a clear safety hazard and must be reported, making it the correct answer.
Choice C reason: Plugging the pump into an unused outlet is appropriate and safe. It ensures the device has a dedicated power source.
Choice D reason: Having a free-flow protective device is a safety feature, not a hazard. It prevents accidental infusion of large amounts of fluid when the tubing is disconnected from the pump.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Methylprednisolone is a corticosteroid that can cause fluid retention and sodium retention, leading to hypertension. This is a well-documented adverse effect of corticosteroid therapy. Therefore, this option is correct.
Choice B reason: Corticosteroids are more commonly associated with weight gain due to increased appetite and fluid retention, not weight loss. This option is incorrect because it contradicts the expected side effects.
Choice C reason: Tremors are not a typical adverse effect of methylprednisolone. They are more commonly associated with medications affecting the nervous system, such as bronchodilators or stimulants. This option is incorrect.
Choice D reason: Drowsiness is not a common adverse effect of corticosteroids. In fact, corticosteroids can sometimes cause insomnia or restlessness. Therefore, this option is incorrect.
Correct Answer is B
Explanation
Choice A reason: Cleansing the insertion site daily is not appropriate because frequent manipulation increases the risk of introducing pathogens into the epidural space. The site should be maintained with sterile technique and minimal disturbance to reduce infection risk.
Choice B reason: Covering the insertion site with a transparent dressing is appropriate because it allows continuous visualization of the site for signs of infection or leakage while maintaining sterility. Transparent dressings also reduce the need for frequent manipulation, thereby lowering infection risk.
Choice C reason: Administering supplemental opioids without provider orders is unsafe. Epidural analgesia is tightly regulated, and additional opioids could increase the risk of respiratory depression, sedation, and overdose.
Choice D reason: Replacing infusion tubing every 72 hours is standard for IV therapy but not specific to epidural analgesia. Epidural tubing requires specialized sterile handling and should not be routinely changed unless clinically indicated.
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