A nurse is preparing to administer intravenous fluids via an infusion pump to a client. Which of the following actions should the nurse take to prevent an electrical hazard? Select all that apply.
Unplug the cord by grasping the plug.
Ensure the plug has three prongs.
Avoid rolling equipment over extension cords.
Plug in the pump close to sink.
Disconnect electrical equipment before cleaning the equipment.
Correct Answer : A,B,C,E
A. Unplugging the cord by grasping the plug prevents damage to the cord and reduces the risk of electric shock.
B. A three-pronged plug ensures a ground connection, which helps prevent electrical shock.
C. Avoiding rolling equipment over extension cords reduces the risk of damage to both the cords and equipment, which can lead to electrical hazards.
D. Plugging in the pump close to the sink increases the risk of water exposure, which can lead to electrical hazards and should be avoided.
E. Disconnecting electrical equipment before cleaning ensures that there is no electrical current present, minimizing the risk of electric shock while cleaning.
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Correct Answer is A
Explanation
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.
Correct Answer is A
Explanation
A. Placing all side rails up may actually increase the risk of injury if the patient tries to climb over them, as it can create a false sense of security. This practice is considered a restraint and should be avoided unless indicated for patient safety.
B. Ensuring the bed is in the lowest position helps prevent falls and is a safe practice.
C. Placing the patient's belongings within reach promotes independence and reduces the risk of the patient trying to get up to retrieve items.
D. Ensuring the wheels on the client's bed are locked is crucial for patient safety to prevent unintended movement of the bed.