The nurse is preparing to place the client's IV on an electronic ...

[kaid0807]

The nurse is preparing to place the client's IV on an electronic pump and notices that the end of the cord is frayed. To prevent harm, the nurse would:
 
  1. Get another pump from the equipment room.
   2. Plug the pump in to make sure it works appropriately.
   3. Label the pump as broken and notify engineering.
   4. Complete an incident report.

Question 2

The mother of a preterm infant tells the nurse that she was not looking forward to having a baby and now that the baby is sick, she feels worse. The nursing diagnosis most appropriate for this situation at this time would be:
 
  1. Parental Role Conflict.
   2. Impaired Parenting.
   3. Compromised Family Coping.
   4. Dysfunctional Family Processes.

[softEldritch]

Answer to Question 1

3. Label the pump as broken and notify engineering.

Rationale:
The best action to prevent injury is to label the pump with information about the frayed cord and notify engineering or the department responsible for equipment safety. The nurse would obtain another pump, but placing the pump with the frayed wire in the equipment room puts another client at risk. The nurse could be jeopardizing personal safety by plugging the pump in. Since no injury has occurred, it would not be appropriate to complete an incident report.

Answer to Question 2

3. Compromised Family Coping

Rationale:
Compromised family coping is the nursing diagnosis most appropriate for this situation at this time since the mother is expressing anger and guilt at having given birth to a premature baby. Parental role conflict is seen if the role of parent is in conflict with other expectations. Impaired parenting is seen if the mother is unable to fulfill the role of mother to the baby. Dysfunctional family process is seen if the addition of a baby leads to the family's inability to function as a family.

[kaid0807]

Thanks for the timely response, appreciate it

[bulacsom]

Gracias!