Question

When getting a drainage set for an indwelling catheter, the nurse notices that the bag containing the set is not CHAPTER 34 Practice Test for NCLEX-RN® 1151 entirely sealed at one end. Which is the appropriate action for the nurse to take? A. Use it but notify purchasing about the condition of the bag. B. Dispose of it and get another. C. Use it only if the drainage system appears untouched. D. Check with the nurse manager on agency policy.

Short answer

B. Dispose of it and get another.

Step-by-step solution

Identify the Key Concern

Recognize that the integrity of the bag containing the drainage set for the indwelling catheter is compromised, as it is not entirely sealed at one end.

Evaluate the Possible Risks

Consider the risks involved in using a compromised drainage set. An unsealed bag may lead to contamination, which can pose a risk of infection to the patient.

Review the Options

Examine each of the given options to determine the best course of action.

Option A Analysis

Using the compromised set and notifying purchasing about the condition may expose the patient to risk and is not best practice for ensuring patient safety.

Option B Analysis

Disposing of the compromised set and getting another ensures that the equipment used is safe and sterile, effectively minimizing the risk of infection.

Option C Analysis

Using the set only if it appears untouched still presents a risk, as the integrity of the sterilization might still be compromised and cannot be reliably verified.

Option D Analysis

Checking with the nurse manager on agency policy is a good practice but does not immediately address the known risk and delay could expose the patient to potential harm.

Choose the Best Answer

Considering all the analyses, the best immediate action to prioritize patient safety is to dispose of the compromised set and get another one.

Key concepts

Patient Safety

At the heart of nursing lies an unwavering commitment to patient safety. Ensuring patient safety involves identifying potential risks and taking preventive measures. When dealing with compromises in medical equipment, such as an indwelling catheter drainage set that is not entirely sealed, immediate action is essential. The primary step to ensure patient safety is to avoid using any compromised equipment as it can lead to severe complications. Its use can expose the patient to risks like infection. Always opt for safe, sterile equipment to provide care. Keeping patient safety in mind, the best practice is to dispose of the compromised equipment and use a new, sealed drainage set. By prioritizing patient safety, nurses demonstrate professionalism and care, which is essential for effective patient outcomes.

Infection Control

Infection control is a cornerstone of nursing practice. When the integrity of medical equipment, like a drainage set for an indwelling catheter, is compromised, the risk of infection increases significantly. A bag that is not properly sealed is susceptible to contamination, making it unfit for patient use. Proper infection control measures include:

• Ensuring all equipment is sterile before use.
• Discarding any equipment that shows signs of compromise.
• Using equipment exactly as intended to avoid introducing pathogens.
• Following strict hand hygiene protocols before and after touching any equipment.

By adhering to these measures, nurses protect patients from potential infections and uphold the highest standards of care.

Nursing Best Practices

Nursing best practices encompass a range of standardized procedures designed to ensure optimal patient care. Dealing with compromised equipment, such as a partially sealed drainage set, highlights the importance of following established guidelines:

• Immediately discard any equipment that appears compromised or contaminated.
• Follow the agency’s policies and protocols regarding equipment handling and disposal.
• Always have a fresh, sterile set on hand to prevent delays in patient care.
• Document and report incidents involving compromised equipment to improve future practices.

By prioritizing nursing best practices, nurses ensure consistent, high-quality care and enhance patient safety. This commitment to excellence forms the foundation of effective nursing care.

Compromised Equipment

Compromised equipment in healthcare settings can have significant implications. When a drainage set for an indwelling catheter is discovered to be not entirely sealed, it is crucial to recognize the potential hazards:

• Contamination of sterile equipment can introduce infections.
• Using compromised equipment goes against safety and sterilization protocols.
• The best immediate response is the disposal of compromised items to prevent any risk to the patient.

By understanding the risks associated with compromised equipment, nurses can take swift and appropriate action to maintain a safe environment for patient care. Proper vigilance and adherence to safety standards ensure the integrity of the healthcare environment and the wellbeing of patients.