A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?

Check the expiration date on the safety inspection sticker of the pump.

Verify that the extension cord for the pump is ungrounded.

Report the pump has a frayed cord and proceed with the infusion.

Obtain a surge protector that can accommodate the pump and several other appliances.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

(Correct Choice) Checking the expiration date on the safety inspection sticker of the pump is essential to ensure the equipment is functioning properly and safely. Using expired equipment can compromise the client's safety and the effectiveness of the treatment.

Choice B rationale:

Verifying that the extension cord for the pump is ungrounded is important for electrical safety. However, it is not the nurse's responsibility to do this. This action should be performed by a qualified electrician or facility maintenance personnel.

Choice C rationale:

Reporting the pump with a frayed cord is essential. However, it is not safe to proceed with the infusion in this situation. Using damaged equipment can lead to electrical hazards and compromise the client's safety.

Choice D rationale:

Obtaining a surge protector is important for protecting the pump and other electrical appliances from power surges. While this is a good practice, it is not the first action the nurse should take when preparing to initiate intravenous fluids.

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Correct Answer is C

Explanation

Choice A rationale:

Iron is essential for healthy blood, but it is not specifically associated with preventing neural tube defects. Iron supplementation is crucial during pregnancy to prevent iron-deficiency anemia.

Choice B rationale:

Calcium is essential for bone health, but it is not directly related to preventing neural tube defects. Adequate calcium intake is vital, especially during adolescence and pregnancy, to support bone development and maintenance.

Choice C rationale:

"Folate." This is the correct answer. Folate, also known as vitamin B9, is crucial for preventing neural tube defects. Adequate folate intake, especially before and during early pregnancy, can significantly reduce the risk of neural tube defects in newborns. The normal recommended dietary allowance (RDA) for folate is 400 micrograms per day for adults.

Choice D rationale:

Zinc is a mineral important for immune function and wound healing but is not specifically associated with preventing neural tube defects. Adequate zinc intake is essential for overall health, but it is not a primary nutrient targeted for neural tube defect prevention.

A. Sticks his tongue out. B. Frowns symmetrically. C. Identifies a sour taste. D. Shrugs his shoulders. E. None F. None

Correct Answer is D

Explanation

Choice A rationale: Sticking the tongue out assesses cranial nerve XII (hypoglossal nerve). This action is used to evaluate tongue movement and is not related to cranial nerve XI (accessory nerve) function.

Choice B rationale: Frowning symmetrically assesses cranial nerve VII (facial nerve). This action is used to evaluate facial muscle strength and is not related to cranial nerve XI (accessory nerve) function.

Choice C rationale: Identifying a sour taste assesses cranial nerve IX (glossopharyngeal nerve). This action is related to taste sensation on the posterior third of the tongue and is not specific to cranial nerve XI (accessory nerve) function.

Choice D rationale: Correct. Shrugging the shoulders assesses cranial nerve XI (accessory nerve). This nerve controls the sternocleidomastoid and trapezius muscles, which are responsible for shoulder movements. Testing the strength of these muscles helps assess the integrity of cranial nerve XI.

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A nurse is preparing to initiate intravenous fluids via infusion pump for a client.Which of the following actions should the nurse take?

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A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?