A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
Change total parenteral nutrition IV tubing every 48 hr.
Change peripheral IV primary tubing every 96 hr.
Replace peripheral IV solution bags every 96 hr.
Replace total parenteral nutrition solution bags every 48 hr.
The Correct Answer is B
A. Changing total parenteral nutrition (TPN) tubing every 48 hours is incorrect. According to most guidelines, TPN tubing should be changed every 24 hours to reduce the risk of infection.
B. Changing peripheral IV primary tubing every 96 hours is a recommended practice in many healthcare settings. It balances infection prevention with cost-effectiveness and is widely accepted for maintaining IV line sterility.
C. Replacing peripheral IV solution bags every 96 hours would not be appropriate, as IV fluid bags should typically be replaced every 24 hours to prevent bacterial contamination.
D. Replacing TPN solution bags every 48 hours is not advisable, as TPN solutions should be replaced every 24 hours to minimize infection risks associated with high-sugar content solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Restraints should be tied using a quick-release knot, not a square knot. A quick-release knot allows for easy removal in emergencies.
B. A provider cannot write a prescription for restraints "as needed" because restraints must be prescribed for a specific duration and reason, ensuring they are used safely and appropriately.
C. Restraints should be removed as soon as they are no longer necessary, typically every 2 hours, not every 4 hours, to ensure the client's comfort and safety.
D. Restraints should always be secured to a part of the bed frame that moves with the client’s position. This prevents excessive tightening or loosening of the restraint, which could cause injury or compromise circulation. Restraints should never be tied to side rails, as this can lead to serious harm if the rails are moved.
Correct Answer is B
Explanation
A. The "Do" component refers to the implementation of the plan, where changes or improvements are put into action, but evaluation does not occur in this phase.
B. The "Check" component involves evaluating the results of the implemented changes to determine their effectiveness, making this the appropriate phase for assessment and analysis of outcomes.
C. The "Act" component involves making adjustments based on the evaluation results, but the actual evaluation itself is part of the "Check" phase.
D. The "Plan" component involves identifying problems and planning interventions but does not include evaluating the effectiveness of those interventions, which is why it is not the correct answer.
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