A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?

A. Notify the housekeeping department: Housekeeping is not the appropriate department to address a malfunctioning infusion pump. The nurse should take immediate action to address the malfunction, such as replacing the pump.

B. Replace the infusion pump: If the infusion pump is malfunctioning, the nurse should replace it with a functional one to ensure that the client's infusion continues safely. This is the most appropriate and immediate action to take in response to a malfunction.

C. Check the expiration date on the safety inspection sticker: While it is important to ensure equipment is regularly inspected, checking the expiration date on the safety inspection sticker does not address an immediate malfunction. The priority should be replacing the pump to prevent disruption of the IV infusion.

D. Plug the infusion pump into a grounded outlet: While ensuring that the pump is plugged into a grounded outlet is important for electrical safety, this does not directly resolve the issue if the pump itself is malfunctioning.

B. Don clean gloves: The nurse should first don clean gloves to ensure proper hygiene and to reduce the risk of infection during the procedure. This protects both the client and the nurse from any potential contamination.

E. Attach the syringe to the balloon injection port: After gloves are on, the next step is to attach the syringe to the balloon injection port of the catheter. This is the part where sterile fluid (usually saline) was used to inflate the balloon that keeps the catheter in place.

C. Withdraw the solution from the balloon: Once the syringe is attached, the nurse slowly withdraws the fluid from the balloon. This is necessary to deflate the balloon, which allows the catheter to be removed easily and without causing injury to the urethral canal.

A. Slowly pull the catheter out of urethral canal: After the balloon is deflated, the nurse gently and slowly pulls the catheter out of the urethral canal. This should be done carefully to avoid causing trauma to the urethra and surrounding tissues. The catheter should be removed in a smooth, controlled motion.

D. Dry the perineal area: After the catheter is removed, the nurse should clean and dry the perineal area to ensure hygiene. This step helps prevent skin irritation and infection after the catheter removal, ensuring that the area is properly cared for and free of moisture.