A nurse on an impatient care unit is working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

Store opened bottles of normal saline in a refrigerator for up to 48 hours

Wait to dispose of sharps containers until they are completely full

Use clean gloves rather than sterile gloves for colostomy care

Return unused supplies from the bedside to the unit’s supply stock

Answer and Explanation

The Correct Answer is C

- Choice A: Storing opened bottles of normal saline in a refrigerator for up to 48 hours is not recommended because it poses a risk of bacterial contamination. Saline is a sterile solution, and once opened, it should be used within a specific time frame, typically 24 hours, to ensure safety and efficacy.
- Choice B: Waiting to dispose of sharps containers until they are completely full is not advisable due to safety concerns. Overfilled sharps containers can increase the risk of needle-stick injuries, which can lead to serious infections. It is essential to follow proper disposal protocols to maintain a safe environment for both patients and healthcare workers.
- Choice C: Using clean gloves rather than sterile gloves for colostomy care is an appropriate action to include in a cost-containment plan. Clean gloves are sufficient for colostomy care because the stoma is considered a clean, not sterile, area. This practice can reduce costs without compromising patient care.
- Choice D: Returning unused supplies from the bedside to the unit’s supply stock is generally not appropriate because it can lead to cross-contamination. Once supplies are taken to a patient's bedside, they should not be returned to the general supply to prevent the spread of infection.

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Correct Answer is B

Explanation

a. Recommending the AP to come back later could delay vital sign documentation unnecessarily.

b. Logging out allows the AP to log in using their own credentials and document the vital signs accurately.

c. Offering to chart the vital signs for the AP could compromise the integrity of the electronic record and violate organizational policies.
d. Allowing the AP to document vital signs prior to logging out could lead to unauthorized access to the electronic record, which is a violation of privacy and security protocols.

A. Root cause analysis B. Benchmarking C. Risk benefit analysis D. Structure audit

Correct Answer is B

Explanation

a. Root cause analysis is a method used to identify the underlying causes of adverse events or errors to prevent recurrence.

b. Benchmarking involves comparing an organization's performance metrics, processes, or outcomes with those of other similar organizations or industry standards to identify best practices and areas for improvement.
c. Risk benefit analysis involves evaluating the potential risks and benefits of a particular course of action or decision to inform decision-making.
d. Structure audit involves evaluating the organizational infrastructure, policies, procedures, and resources to ensure they support quality care delivery.

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A nurse on an impatient care unit is working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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