A nurse is caring for a group of clients who are postoperative. Which of the following actions demonstrates appropriate, cost-effective strategies in providing nursing care?
Have clients ask their families to assist with ambulation.
Provide pain medication intravenously.
Encourage the use of an incentive spirometer.
Turn a client who is immobile every 4 hr.
The Correct Answer is C
A. Have clients ask their families to assist with ambulation:
While family involvement can be helpful, ambulation should be supervised by trained staff to ensure safety and prevent injury.
B. Provide pain medication intravenously:
IV pain medication is often more expensive than oral or other routes and may not be cost-effective unless necessary for clinical reasons.
C. Encourage the use of an incentive spirometer:
This is a cost-effective, preventive measure that helps reduce the risk of postoperative pulmonary complications and avoids costly treatments for pneumonia or atelectasis.
D. Turn a client who is immobile every 4 hr:
Immobile clients should be turned at least every 2 hours to prevent pressure injuries; 4-hour intervals increase risk and could lead to higher care costs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Document in the nurses' notes that an incident report was completed:
This is incorrect. The incident report is an internal risk management tool and should not be mentioned in the medical record.
B. Record the facts about the incident in the medical record:
The nurse should document objective facts about the event, assessment, and interventions in the client’s medical record without referencing the incident report.
C. Provide the family with a copy of the incident report:
Incident reports are confidential and not shared with clients or families.
D. Place a copy of the incident report in the medical record:
This is incorrect; incident reports are kept separately from the medical record to avoid legal complications.
Correct Answer is ["A","B","C","D"]
Explanation
A. Identify the problem:
Recognizing and clearly stating the ethical dilemma is the first step.
C. Review the potential plan of action:
Once the problem is identified, the nurse should explore possible solutions and their ethical implications.
D. Put the plan into action:
Implement the most ethically appropriate plan based on the review.
B. Evaluate the plan:
Assess the effectiveness and ethical soundness of the plan after implementation.
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