A nurse is evaluating an assistive personnel's (AP) use of materials while providing client care. Which of the following actions by the AP demonstrates cost-effective use of resources?

Wearing sterile gloves when collecting a urine specimen from an indwelling urinary catheter

Donning an N95 mask before caring for a client who is on contact precautions

Returning unopened supplies to the storage room

Replacing a continuous feeding administration set every 8 hr

Answer and Explanation

The Correct Answer is C

A. Wearing sterile gloves when collecting a urine specimen from an indwelling urinary catheter: Sterile gloves are not required for routine urine specimen collection from an indwelling catheter unless the procedure involves breaking the closed system for insertion or manipulation. Using sterile gloves unnecessarily increases supply costs without improving safety.

B. Donning an N95 mask before caring for a client who is on contact precautions: Contact precautions require gloves and a gown, not an N95 respirator. Using an N95 inappropriately consumes a more expensive resource without providing additional protection, which is not cost-effective. Appropriate PPE selection should be based on transmission precautions.

C. Returning unopened supplies to the storage room: Returning unopened supplies for future use prevents unnecessary waste and reduces institutional costs. Supplies that remain sterile and intact can be reused for other clients, demonstrating effective resource management while maintaining safety standards.

D. Replacing a continuous feeding administration set every 8 hr: Standard guidelines recommend replacing continuous enteral feeding sets every 24 hours to prevent infection, unless otherwise indicated. Replacing them every 8 hours unnecessarily increases supply use and cost without additional safety benefit, making it a less cost-effective practice.

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Correct Answer is B

Explanation

A. Assist the client with positioning for an ultrasound: Positioning for ultrasound is part of the preparation for amniocentesis, not a post-procedure intervention. After the procedure, the priority is monitoring the client for complications rather than repeating imaging unless clinically indicated.

B. Monitor the client for placental abruption: Amniocentesis carries a small risk of complications such as bleeding, cramping, or placental injury. Monitoring the client for signs of placental abruption, including vaginal bleeding, abdominal pain, and uterine tenderness, is an appropriate post-procedure action to ensure early detection and intervention.

C. Administer Rh.D immune globulin to the client: Administration of Rh.D immune globulin is indicated for Rh-negative clients to prevent isoimmunization. Since this client is Rh-positive, they do not require Rh immunoglobulin, so this action is not necessary.

D. Obtain an umbilical blood sample from the fetus: Umbilical blood sampling (cordocentesis) is a separate diagnostic procedure and is not part of routine amniocentesis. Post-procedure care focuses on maternal monitoring and fetal well-being rather than obtaining fetal blood immediately.

A. "Many people have colostomies and they live full lives." B. "Would it help to speak with someone else who has a colostomy?" C. "Why don't you want people to see the colostomy bag?" D. "You shouldn't worry, the colostomy is probably only temporary,"

Correct Answer is B

Explanation

A. "Many people have colostomies and they live full lives.": While this statement is reassuring, it is general and does not acknowledge the client’s personal feelings or offer a practical way to cope with body image concerns. It may feel dismissive rather than supportive.

B. "Would it help to speak with someone else who has a colostomy?": This response validates the client’s concerns and provides an opportunity for peer support. Speaking with someone who has firsthand experience can help the client adjust to body image changes, learn coping strategies, and feel less isolated.

C. "Why don't you want people to see the colostomy bag?": Asking "why" can feel judgmental or confrontational, potentially causing the client to become defensive. Open-ended supportive questions are more effective in exploring feelings without implying blame.

D. "You shouldn't worry, the colostomy is probably only temporary.": Minimizing the client’s concerns about the colostomy can invalidate their emotions. Even if temporary, the client’s feelings about body image and privacy are real and require acknowledgment and support.

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A nurse is evaluating an assistive personnel's (AP) use of materials while providing client care. Which of the following actions by the AP demonstrates cost-effective use of resources?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who is Rh+, at 16 weeks of gestation, and scheduled for an amniocentesis. Which of the following actions should the nurse plan to take following the procedure?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new colostomy. The client tells the nurse. "I don't want anyone to see me with this bag." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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