42) A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

A system for tracking client information

A sufficient supply of personal protective equipment

A mental health specialist on the response team

A network for communication between staff members and families

Answer and Explanation

The Correct Answer is B

a.   A system for tracking client information: While important for managing patients during a disaster, it may not be the highest priority resource in response to a bioterrorism event where protection against exposure to hazardous materials is paramount.
b.   A sufficient supply of personal protective equipment: In a bioterrorism event, such as exposure to biological agents, personal protective equipment (PPE) is critical to prevent the spread of pathogens and protect healthcare workers and patients from contamination.
c.   A mental health specialist on the response team: Mental health support is important for both staff and patients during and after a disaster, but it may not be the highest priority resource in the immediate response to a bioterrorism event.
d.   A network for communication between staff members and families: Communication is essential during any disaster response, but ensuring an adequate supply of personal protective equipment takes precedence in the face of potential exposure to biological agents.

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Correct Answer is C

Explanation

A. Opened bottles of normal saline should be discarded after 24 hours to prevent contamination, even if stored in a refrigerator. Keeping them longer could increase the risk of infection, making this practice unsafe.

B. Sharps containers should be disposed of when they are three-quarters full, not completely full, to prevent needlestick injuries and ensure staff safety. This is a critical safety measure, not an appropriate cost-containment strategy.

C. Using clean gloves rather than sterile gloves for colostomy care is an appropriate cost-saving measure without compromising care. Clean gloves are sufficient for this procedure and help reduce unnecessary use of sterile supplies, which are more expensive.

D. Unused supplies from the bedside should not be returned to the supply stock due to infection control protocols. Once supplies have been taken to the bedside, they are considered contaminated and should be disposed of, not reused.

A. Review current literature regarding client falls B. Implement a fall prevention plan C. Identify clients who are at risk for falls D. Notify staff of the increased fall rate

Correct Answer is C

Explanation

a. While reviewing current literature is an important step in the quality improvement process, it should not be the first action taken after problem identification.
b. Implementing a fall prevention plan is an important step but should be based on a thorough assessment of clients at risk for falls, which should be done first.
c. Identifying clients who are at risk for falls is the first step in addressing the issue of increased falls, as it allows for targeted interventions and prevention strategies.
d. Notifying staff of the increased fall rate may be necessary but should not be the first action taken. Identifying clients at risk for falls should be prioritized to implement preventive measures.

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42) A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an inpatient care unit is working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

Correct Answer is C

Explanation

A nurse working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?

Correct Answer is C

Explanation

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