A nurse is contributing to the plan of care for a client who has delirium and is experiencing hallucinations. Which of the following interventions should the nurse recommend to include?

A. Refrain from using deodorant on the morning of the test: Deodorants, powders, lotions, and perfumes applied to the breast or axillary area can contain metallic particles such as aluminum. These substances may appear as radiopaque artifacts on the mammogram and mimic microcalcifications, potentially leading to false-positive findings or the need for repeat imaging.

B. Shower with an antimicrobial solution before the test: Mammography is a noninvasive radiographic procedure that does not require sterile preparation. Antimicrobial cleansing is unnecessary because there is no incision or breach of skin integrity. Routine hygiene is sufficient prior to the examination.

C. Avoid taking aspirin for 1 week prior to the test: Mammography does not involve tissue puncture or invasive sampling, so there is no increased bleeding risk associated with aspirin use. Antiplatelet medication adjustments are typically considered before invasive procedures such as biopsies, not routine imaging studies.

D. Do not eat or drink after midnight the night before the test: Fasting is not required for a mammogram because the procedure does not involve sedation or anesthesia. Clients may eat, drink, and take prescribed medications as usual prior to the appointment.

A. Wearing sterile gloves when collecting a urine specimen from an indwelling urinary catheter: Sterile gloves are not required for routine urine specimen collection from an indwelling catheter unless the procedure involves breaking the closed system for insertion or manipulation. Using sterile gloves unnecessarily increases supply costs without improving safety.

B. Donning an N95 mask before caring for a client who is on contact precautions: Contact precautions require gloves and a gown, not an N95 respirator. Using an N95 inappropriately consumes a more expensive resource without providing additional protection, which is not cost-effective. Appropriate PPE selection should be based on transmission precautions.

C. Returning unopened supplies to the storage room: Returning unopened supplies for future use prevents unnecessary waste and reduces institutional costs. Supplies that remain sterile and intact can be reused for other clients, demonstrating effective resource management while maintaining safety standards.

D. Replacing a continuous feeding administration set every 8 hr: Standard guidelines recommend replacing continuous enteral feeding sets every 24 hours to prevent infection, unless otherwise indicated. Replacing them every 8 hours unnecessarily increases supply use and cost without additional safety benefit, making it a less cost-effective practice.