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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Black: This tag is used for patients who are deceased or have injuries so severe that survival is unlikely even with immediate medical intervention. Full-thickness burns covering 72% of the body are typically fatal due to the extensive damage to the skin and underlying tissues, high risk of infection, and severe fluid loss.
B. Yellow: This tag is for patients who require observation and whose condition is stable for the moment but who still need hospital care. A patient with such extensive burns would not be stable and would require immediate, intensive care, making this tag inappropriate.
C. Red: This tag is assigned to patients who need immediate treatment to survive. While a patient with extensive burns might initially seem to fit this category, the severity and extent of the burns make survival unlikely even with immediate treatment.
D. Green: This tag is for the "walking wounded" who have minor injuries and do not require urgent care. Clearly, a patient with full-thickness burns over a large portion of their body does not fit this category.
Correct Answer is C
Explanation
A. Review facility policies for taking scheduled breaks: While understanding facility policies is important, it may not directly address the reasons why the nurses are not taking their scheduled breaks. This step can be taken after understanding the underlying issues.
B. Discuss time management strategies with the nurses: While time management strategies may be helpful, it's essential to first understand why the nurses are not taking their breaks before discussing potential solutions.
C. Determine the reasons the nurses are not taking scheduled breaks: This is the correct answer.
Understanding the reasons behind the nurses' behavior is crucial for addressing the issue effectively. It could be due to workload, staffing issues, personal preferences, or other factors.
D. Provide coverage for the nurses' breaks: While providing coverage may be necessary in the short term, it does not address the underlying reasons why the nurses are not taking their breaks and may not be a sustainable solution. Understanding the root cause is essential for
implementing appropriate interventions.
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