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?
Purchasing primary tubing for IV therapy
Implementing a fall prevention program
Providing staff education on infection control
Hiring a wound care specialist
The Correct Answer is B
Choice A reason: Purchasing primary tubing for IV therapy is not a cost-effective client care task, as it involves spending money on supplies that may not be necessary or appropriate for every client. The nurse should recommend using secondary tubing or changing the primary tubing according to the facility's policy and the client's condition.
Choice B reason: Implementing a fall prevention program is a cost-effective client care task, as it can prevent injuries, complications, and lawsuits that can result from client falls. The nurse should recommend using evidence-based strategies, such as assessing the client's fall risk, providing appropriate supervision and assistance, and using safety devices and alarms.
Choice C reason: Providing staff education on infection control is not a cost-effective client care task, as it involves investing time and resources on training that may not have a direct impact on the client's outcomes. The nurse should recommend following the standard precautions and the facility's protocol for infection prevention and control.
Choice D reason: Hiring a wound care specialist is not a cost-effective client care task, as it involves paying for an additional staff member who may not be needed or utilized for every client. The nurse should recommend providing wound care according to the provider's orders and the facility's guidelines, and consulting a wound care specialist only when necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Reminiscence therapy is a type of intervention that helps clients with Alzheimer's disease recall and share their past experiences, memories, and emotions. This can enhance their self-esteem, mood, and quality of life. By requesting a referral for this therapy, the nurse is advocating for the client's psychosocial needs and preferences.
Choice B reason: Performing an updated cognitive assessment on the client is not an example of advocacy, but rather a standard nursing practice. Cognitive assessments are used to monitor the client's cognitive status and progression of the disease. They do not necessarily reflect the client's wishes or interests.
Choice C reason: Providing assistance for the client when ambulating down the hall is not an example of advocacy, but rather a safety measure. The nurse is helping the client prevent falls and injuries, which are common risks for clients with Alzheimer's disease. This does not imply that the nurse is speaking up for the client or protecting their rights.
Choice D reason: Reorienting the client several times throughout the day is not an example of advocacy, but rather a therapeutic communication technique. The nurse is helping the client cope with confusion and disorientation, which are common symptoms of Alzheimer's disease. This does not indicate that the nurse is supporting the client's goals or values.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Documenting a client's refusal to take a prescribed medication is an example of client advocacy because it respects the client's right to make informed decisions about their health care. The nurse should also explain the risks and benefits of the medication and offer alternatives if possible.
Choice B reason: Providing written information to a client regarding palliative care is an example of client advocacy because it educates the client about their options and supports their quality of life. The nurse should also discuss the information with the client and answer any questions they may have.
Choice C reason: Implementing a client's plan of care based on nursing goals is not an example of client advocacy because it does not reflect the client's preferences and values. The nurse should collaborate with the client and the health care team to develop a plan of care that meets the client's needs and goals.
Choice D reason: Obtaining an interpreter for a client who speaks a different language than the nurse is an example of client advocacy because it facilitates effective communication and understanding between the nurse and the client. The nurse should use a professional interpreter or a translation device if available and avoid using family members or friends as interpreters.
Choice E reason: Initiating IV access on a client who has dementia while he is sleeping is not an example of client advocacy because it violates the client's autonomy and consent. The nurse should obtain informed consent from the client or their legal representative before performing any invasive procedure and explain the purpose and risks of the procedure.
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