While performing hygiene care for a client, a nurse notices a frayed electrical cord on the client’s electronic blood pressure monitor.
Which of the following actions should the nurse take first?
Remove the device from the room.
Access the facility’s maintenance protocol.
Report defective equipment.
Request a replacement device.
The Correct Answer is A
This is because a frayed electrical cord can pose a serious risk of electric shock or fire to the client and the nurse.
The nurse should act quickly to eliminate the hazard and ensure the safety of the client and others.
Choice B is wrong because accessing the facility’s maintenance protocol is not the first action the nurse should take.
The nurse should prioritize removing the device from the room before following any protocol.
Choice C is wrong because reporting defective equipment is not the first action the nurse should take.
The nurse should prioritize removing the device from the room before reporting it to the appropriate authority.
Choice D is wrong because requesting a replacement device is not the first action the nurse should take.
The nurse should prioritize removing the device from the room before requesting a new one.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
It can also increase the risk of denture stomatitis and pneumonia.
Dentures should be removed overnight and soaked in a denture-cleansing solution.
Choice A is wrong because rinsing dentures after meals can help remove food debris and prevent plaque buildup.
Choice B is wrong because soaking dentures in water after removal can prevent them from drying out and losing their shape.
However, water alone is not enough to disinfect dentures, so a denturecleansing solution should also be used.
Choice C is wrong because applying an adhesive to seal dentures in place can improve the fit and comfort of dentures.
However, adhesive should not be used as a substitute for poorly fitting dentures, and any excess adhesive should be removed by brushing.
Correct Answer is C
Explanation
The correct answer is choice B: Explain to the client that they cannot leave until the surgeon discharges them.
Choice B rationale: The nurse should explain the importance of following the surgeon's orders and the potential consequences of leaving before being officially discharged. This approach provides patient education and promotes collaboration between the client and the health care team. It also ensures the client understands that leaving without proper discharge could lead to complications or inadequate recovery.
Choice A rationale: Threatening the client with restraints is not an appropriate action, as it may cause undue stress and escalate the situation. Restraints should only be used as a last resort in cases where the client poses an immediate risk of harm to themselves or others.
Choice C rationale: While having the client sign an against medical advice (AMA) form might be appropriate if the client insists on leaving, the nurse should first attempt to educate the client on the importance of following the surgeon's orders and collaborate with the client to resolve any concerns or issues leading to their desire to leave.
Choice D rationale: Administering a sedative medication is not an appropriate action in this situation. Sedation should only be used when medically necessary and not as a means to control a client's behavior or decisions.
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