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

Use clean gloves rather than sterile gloves for colostomy care.

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

Return unused supplies from the bedside to the unit's supply stock.

wait to dispose of sharps containers until they are completely full.

Answer and Explanation

The Correct Answer is A

A. For colostomy care, clean gloves are generally sufficient, as the procedure does not require a sterile field. This approach can reduce costs associated with using sterile supplies unnecessarily while maintaining proper hygiene.

B. Refrigeration of saline for 48hrs compromises sterility increasing risk of infections

C. Returning unused supplies helps manage inventory effectively and reduces waste, contributing to cost containment. However, many facilities have specific policies regarding returning supplies, so this must be done in accordance with those policies.

D. Completely full sharp containers are a hazard in the work in the environment and can lead to more harm

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Correct Answer is ["B","C"]

Explanation

A. Pipe cleaners are not typically used for tracheostomy care. However, tracheostomy care kits may include brushes or other cleaning devices designed for cleaning the inner cannula of the tracheostomy tube.

B. A portable oxygen tank may be necessary for a client with a tracheostomy, particularly if the tracheostomy was placed due to respiratory insufficiency or if the client needs supplemental oxygen to maintain appropriate oxygen saturation.

C. An obturator is used to insert the tube in the case of dislodgement at home.

D. Cotton balls are generally not recommended for tracheostomy care. They can leave fibers behind and may pose a risk of aspiration. They do not serve a significant purpose in the management of a tracheostomy.

B. An oxygen tan is unsafe for use at home as it increases the risk of fire.

E- Petroleum jelly is useful in the later stages when hyper granulation occurs.

A. Instructing a client on self-administration of a tap water enema B. Suctioning a client's long-term tracheostomy C. Performing a dressing change on a client's peripherally inserted central catheter D. Using a pain rating scale to monitor a client's pain level

Correct Answer is D

Explanation

Rating the pain scale of a client is a low risk task that can be performed by assistive personnel

A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse

B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse

C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention

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Nurses on an inclient care unit are 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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Correct Answer is D

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