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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?

A.

Report the defect to the equipment maintenance staff.

B.

Remove the device from the room.

C.

Initiate a requisition for a replacement CPM device.

D.

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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Related Questions

Correct Answer is C

Explanation

The correct answer is choice C, malaise.

Malaise is a general feeling of discomfort, weakness, or illness that can be a sign of infection. According to the health search result from Focus Medica , bacterial pneumonia is an infection of the air sacs in one or both lungs that causes symptoms such as cough with phlegm, fever, chills, and difficulty breathing.

Malaise is one of the symptoms that may follow these signs of infection.

Choice A, drooling, is wrong because it is not a typical symptom of bacterial pneumonia.

Drooling can be caused by other conditions, such as sore throat, dental problems, or neurological disorders.

Choice B, tinnitus, is wrong because it is not a symptom of bacterial pneumonia either.

Tinnitus is a ringing or buzzing sound in the ears that can be caused by exposure to loud noise, ear infections, or other ear problems.

Choice D, rhinorrhea, is wrong because it is not specific to bacterial pneumonia.

Rhinorrhea is a runny nose that can be caused by many factors, such as allergies, colds, or sinus infections.

Rhinorrhea can sometimes occur with viral pneumonia, but not usually with bacterial pneumonia.

Correct Answer is B

Explanation

The correct answer is choice B. Fish. Fish is a good source of protein and omega-3 fatty acids, which can help lower blood pressure, reduce inflammation, and prevent blood clots. Fish is also low in sodium, which is important for people with hypertension, as excess sodium can raise blood pressure by retaining fluid in the body. Fish is part of the DASH diet, which stands for Dietary Approaches to Stop Hypertension, and is a healthy eating plan that emphasizes fruits, vegetables, whole grains, low-fat dairy, nuts, seeds, legumes, and lean meats.

Choice A. Cheese is wrong because cheese is high in sodium and saturated fat, which can increase blood pressure and cholesterol levels.

Cheese should be limited or avoided by people with hypertension.

Choice C. Red meat is wrong because red meat is also high in sodium and saturated fat, as well as cholesterol, which can contribute to hypertension and heart disease.

Red meat should be eaten sparingly or replaced by leaner sources of protein like fish, poultry, or beans.

Choice D. Canned black beans are wrong because canned black beans are high in sodium, as most canned foods are preserved with salt. Canned black beans should be rinsed well before eating or replaced by dried or cooked black beans, which are lower in sodium and high in fiber, potassium, magnesium, and calcium, which are beneficial for blood pressure control.

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