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Zorluk: OrtaErgonomics and Safe Use of Equipment

A practical nurse (PN) is caring for a client with hepatic encephalopathy who is disoriented and restless. Upon entering the room, the PN notices that the client's electronic enteral feeding pump has a cracked outer casing and is leaking liquid formula down the power cord onto the floor. The client is actively pulling at the device's tubing. Which action should the PN take first?

  1. A
    Perform a focused neurological assessment to determine the cause of the client's restlessness.
  2. Unplug the feeding pump from the wall outlet, remove it from the client's reach, and tag it as out of service.Cevap
  3. C
    Apply bilateral soft wrist restraints to prevent the client from tampering with the electrical cord.
  4. D
    Delegate an unlicensed assistive personnel (UAP) to disconnect the broken pump and clean the spilled formula.

Cevap

Unplug the feeding pump from the wall outlet, remove it from the client's reach, and tag it as out of service.
When a piece of electrical equipment is visibly damaged, leaking fluid, or malfunctioning, it presents an immediate risk for electrocution or fire. The nurse must first ensure safety by disconnecting the power source, removing the item from the client's reach, and properly tagging it so that it is not used again until serviced by biomedical engineering.

Adım Adım Çözüm

1
Identify the immediate threat to the client's safety.
Recognize that a cracked, leaking electrical device poses a high risk of electrocution, fire, and physical injury.
Environmental hazards must be addressed instantly to prevent harm.
2
Implement the safest immediate intervention.
Disconnect the device from its power source and remove it from the client's environment.
Removing power eliminates the electrical hazard, and removing the device prevents the disoriented client from further interaction.
3
Follow facility safety protocols for broken equipment.
Apply an out-of-service tag to the device and notify biomedical engineering.
This ensures the defective equipment is not inadvertently used by other staff members.

Anahtar Kavram

Management of defective biomedical equipment and prioritization of environmental safety.
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Konular

Ergonomics and Safe Use of Equipment

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