A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning. Which of the following actions should the nurse take?

Plug the IV pump's cord into a different outlet.

Clear the settings and reset the IV pump.

Discontinue use and tag the IV pump.

Replace the IV pump's tubing.

Answer and Explanation

The Correct Answer is C

A malfunctioning IV pump screen poses a risk to the accurate administration of IV fluids and medications, and it can compromise patient safety. It is important to discontinue use of the malfunctioning pump to prevent potential errors or complications. The nurse should tag the IV pump to notify others that it is not functioning properly and should not be used until it is repaired or replaced.

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Correct Answer is A

Explanation

a. Incident report.

Whenever a medication error occurs, it should be documented in an incident report. The purpose of the incident report is to document the details of the event, including what happened, why it happened, and what was done to prevent it from happening again. Incident reports are not part of the client's medical record and are not used for disciplinary action. They are used for quality improvement and risk management purposes.

The nursing care plan is a document that outlines the client's nursing care needs and interventions. It is not the appropriate place to document a medication error.

The controlled substance inventory record is used to document the administration and dispensing of controlled substances. It is not the appropriate place to document a medication error.

The provider's progress notes document the provider's assessment, diagnosis, and treatment plan for the client. They are not the appropriate place to document a medication error.

A. The client has a sudden increase in energy. B. The client is withdrawn and uncommunicative. C. The client neglects personal hygiene. D. The client reports a change in sleeping patterns.

Correct Answer is A

Explanation

The nurse should identify the sudden increase in energy as the priority finding to report to the provider. This could be a sign of an emerging manic episode, especially if the client is taking an antidepressant alone without a mood stabilizer.

It may indicate a switch to a manic state or the development of bipolar disorder. The provider needs to be informed promptly so that appropriate assessment and interventions can be implemented to ensure the client's safety and well-being.

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A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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