A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change.

Which of the following actions should the nurse plan to take during this stage?

The correct answer is d. Unplug the pump.

Rationale for Choice A:

• While notifying the biomedical department to fix the pump is important,it is not the immediate priority in this situation.The first step is to ensure patient and staff safety by removing the potential electrical hazard.
• Delaying the removal of the sparking pump could lead to electrical shock,fire,or other serious consequences.
• Biomedical staff can be notified after the immediate safety risk has been addressed.

Rationale for Choice B:

• Obtaining a replacement pump is necessary to continue the client's IV therapy,but it is not the first action the nurse should take.
• The priority is to eliminate the electrical hazard posed by the sparking pump.
• Once the faulty pump is unplugged and safety is ensured,the nurse can then proceed to obtain a replacement pump.

Rationale for Choice C:

• Labeling the pump with a defective equipment sticker is important to prevent others from using it,but it does not address the immediate safety risk.
• The priority is to disconnect the pump from the power source to eliminate the risk of electrical shock or fire.
• Labeling can be done after the pump has been unplugged and the situation has been assessed.

Rationale for Choice D:

• Unplugging the pump is the correct first action because it immediately removes the electrical hazard,preventing potential harm to the patient,staff,or equipment.
• This action prioritizes safety and mitigates the risk of electrical shock,burns,fire,or other serious consequences.
• It is essential to act quickly and decisively in such situations to ensure a safe environment for everyone involved.

The correct answer is choicec. “You will need to wear a mask when outside of your room.”

Choice A rationale:

Visitors wearing protective gowns is important to prevent infection, but it is not the primary teaching point for the patient themselves.

Choice B rationale:

Patients undergoing allogeneic stem cell transplants are typically placed in private rooms to minimize the risk of infection, not semi-private rooms.

Choice C rationale:

Wearing a mask when outside the room is crucial for the patient to protect themselves from infections due to their compromised immune system during the transplant process.

Choice D rationale:

Negative-airflow rooms are used to prevent the spread of airborne infections from the patient to others, not necessarily to keep the air cleaner for the patient.