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 peripheral IV primary tubing every 96 hr.

Replace peripheral IV solution bags every 96 hr.

Replace total parenteral nutrition solution bags every 48 hr.

Change total parenteral nutrition IV tubing every 48 hr.

Answer and Explanation

The Correct Answer is A

A.   Changing peripheral IV primary tubing every 96 hours is a standard practice that helps prevent infection and maintain the integrity of the IV system while also being cost-effective by reducing unnecessary changes.
B.   While replacing peripheral IV solution bags every 96 hours might seem like a cost-saving measure, it may not align with best practices, as solution bags should be changed based on the facility's policy and the condition of the solution.
C.   Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial growth and ensure the integrity of the solution.
D.   Changing total parenteral nutrition (TPN) IV tubing every 48 hours may be necessary to prevent contamination and maintain the sterility of the infusion, which can contribute to better patient outcomes despite potentially higher costs.

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Correct Answer is A

Explanation

A. Implied consent: Implied consent applies in emergency situations where the patient is unable to provide consent due to their condition. In such cases, healthcare providers are permitted to proceed with necessary treatment, including emergency surgery, to prevent further harm or save the patient's life.
B. Good Samaritan Act: The Good Samaritan Act provides legal protection to individuals who provide assistance in an emergency situation. It does not directly address the issue of consent for medical treatment.
C. Nonmaleficence: Nonmaleficence is an ethical principle that emphasizes the duty to do no harm. While it guides healthcare providers in decision-making, it does not address the issue of consent for treatment.
D. Living will: A living will is a legal document that outlines a person's preferences for medical treatment in the event they become incapacitated. However, it is not applicable in emergency situations where immediate treatment decisions are necessary.

A. Request a replacement IV pump. B. Remove the IV pump from the client's room. C. Check the expiration date of the inspection sticker. D. Report the problem to the engineering team. E. None F. None

Correct Answer is B

Explanation

A. While obtaining a replacement is necessary, the immediate priority is ensuring client safety by removing the hazardous equipment first.

B. A frayed electrical cord poses a safety hazard, including the risk of electrical shock, fire, or equipment malfunction. The first priority is to remove the faulty equipment from the client’s environment to prevent potential harm. After removing the IV pump, the nurse should report the issue to the appropriate department, such as engineering or biomedical services, for repair or replacement.

C. This does not directly address the safety risk posed by the frayed cord.

D. While reporting is necessary, the first action should be to remove the unsafe equipment to eliminate immediate danger.

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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?

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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?