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While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device.

Which of the following actions should the nurse take first?

Report the defect to the equipment maintenance staff.

Remove the device from the room.

Initiate a requisition for a replacement CPM device.

Ensure the device inspection sticker is current.

Answer and Explanation

The Correct Answer is B

The correct answer is b. Remove the device from the room.

Choice A rationale:

Reporting the defect to the equipment maintenance staff is essential, but it's not the immediate priority. The primary concern is to eliminate the safety hazard posed by the frayed cord to prevent potential harm to the client and others.
Delaying the removal of the device could lead to electrical shock, fire, or other serious consequences.
Therefore, removing the device from the room takes precedence over reporting the defect.

Choice B rationale:

Removing the device from the room is the most appropriate first action because it:
- Eliminates the immediate safety hazard.
- Prevents potential harm to the client and others.
- Protects the device from further damage.
- Ensures the safety of the environment.
- Demonstrates the nurse's prioritization of patient safety.

Choice C rationale:

Initiating a requisition for a replacement CPM device is necessary to ensure the client's continued treatment.
However, it's not the first action because it doesn't address the immediate safety concern.
The nurse should first remove the faulty device and then initiate the process for obtaining a replacement.

Choice D rationale:

Ensuring the device inspection sticker is current is a vital part of equipment maintenance.
However, it's not relevant to the immediate safety issue of the frayed cord.
The presence of a current inspection sticker doesn't guarantee the device's safety or functionality at that moment.
The nurse must prioritize removing the hazard and then follow up with appropriate documentation and reporting.

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Correct Answer is B

Explanation

The correct answer is B.

Previous violent behavior. According to the web search results, this is the best predictor of future violence among the given risk factors.

Other risk factors include past history of aggression, poor impulse control, and violence. Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders).

Choice A is wrong because a history of being in prison is not a direct cause of violence, but rather a possible consequence of it.

Choice C is wrong because male gender is not a sufficient factor to predict violence, as there are many other variables involved. Choice D is wrong because experiencing delusions is not necessarily associated with violence, unless they are of a paranoid or persecutory nature.

Normal ranges for violence risk assessment are not standardized, but some tools that can be used include the Historical Clinical Risk Management-20 (HCR-20), the Violence Risk Appraisal Guide (VRAG), and the Psychopathy Checklist-Revised (PCL-R). These tools use different scales and criteria to evaluate the likelihood of violent behavior in individuals.

A. “The more my baby is at the breast sucking, the more milk I will produce.”. B. “Manually expressing my milk will decrease my milk supply C. "After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast.”. D. “My baby should always start on the same breast when feeding.”

Correct Answer is A

Explanation

The correct answer is choice A. “The more my baby is at the breast sucking, the more milk I will produce.” This statement indicates an understanding of the teaching because it reflects the principle of supply and demand in breastfeeding. The more the baby stimulates the breast, the more milk the mother will produce.

Choice B is wrong because manually expressing milk will not decrease the milk supply. In fact, it can help increase the milk supply by removing more milk from the breast and signaling the body to make more.

Choice C is wrong because the breast is not emptied after 5 to 10 minutes of feeding. The baby should be allowed to nurse until they are satisfied and show signs of fullness, such as releasing the nipple, falling asleep, or turning away from the breast. The average duration of a feeding session can vary from 10 to 45 minutes.

Choice D is wrong because the baby should not always start on the same breast when feeding. The mother should alternate which breast she offers first to ensure both breasts are stimulated and drained equally.

This can help prevent engorgement, mastitis, and low milk supply. A simple way to remember which breast to start with is to wear a bracelet or a clip on the bra strap on the side that needs to be offered next.

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While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device. Which of the following actions should the nurse take first?

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While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device.

Which of the following actions should the nurse take first?