A nurse is discussing strategies for cost containment with a group of nurse managers. Which of the following statements should the nurse include?

Planning a 10-year budget will ensure cost-effective care.

Hiring travel nurses is an effective method of cost containment.

Reducing staff training programs will lower expenses.

Implementing electronic health records reduces long-term costs.

Answer and Explanation

The Correct Answer is D

Choice A reason: A 10-year budget is impractical for cost containment, as healthcare costs fluctuate due to economic and technological changes. Long-term budgets lack flexibility for staffing or equipment needs, making them ineffective for ensuring cost-effective care delivery in dynamic healthcare environments.
Choice B reason: Hiring travel nurses increases costs due to high salaries and agency fees compared to permanent staff. While addressing short-term shortages, it does not promote long-term savings, as temporary labor is expensive, contrasting with strategies like workforce planning for cost containment.
Choice C reason: Reducing training programs may lower short-term costs but risks errors and lawsuits, increasing long-term expenses. Well-trained staff improve efficiency and outcomes, reducing readmissions. Training is critical for cost containment, as it enhances care quality in healthcare settings.
Choice D reason: Electronic health records (EHRs) reduce long-term costs by streamlining documentation and improving care coordination. EHRs enhance billing accuracy and reduce errors, offsetting initial costs with decreased administrative burdens and better patient outcomes, aligning with evidence-based cost containment strategies in healthcare.

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Correct Answer is C

Explanation

Choice A reason: Asking for more information about the surgery indicates the client seeks clarification but does not confirm understanding of informed consent. Informed consent requires comprehension of the procedure, risks, benefits, and alternatives, with agreement to proceed. This statement reflects curiosity, not confirmation of understanding, making it insufficient to demonstrate informed consent.
Choice B reason: Planning to ask the doctor about the surgery in the operating room suggests the client has not yet received or understood the necessary information. Informed consent must be obtained before entering the operating room, with full comprehension of risks and benefits. This statement indicates a lack of prior understanding, making it incorrect.
Choice C reason: Stating understanding of the risks, benefits, and agreement to the procedure demonstrates informed consent. This reflects that the client has been educated about the knee arthroplasty, including potential complications like infection or blood clots, and alternatives, and voluntarily agrees to proceed. This meets legal and ethical standards, indicating full comprehension and consent.
Choice D reason: Having family sign the consent form is inappropriate unless the client lacks decision-making capacity, which is not indicated. Informed consent requires the competent client’s understanding and agreement. This statement suggests reliance on others, not personal comprehension of the procedure’s risks and benefits, making it an incorrect indicator of understanding.

A. A client who has type 1 diabetes mellitus and an HbA1c of 7.2%. B. A client who has a hip fracture and a new onset of tachypnea. C. A client who has sinus arrhythmia and is receiving cardiac monitoring. D. A client who has hypertension and reports chest pain.

Correct Answer is B

Explanation

Choice A reason: An HbA1c of 7.2% in type 1 diabetes indicates suboptimal control but is not an acute emergency. This client requires follow-up but is stable compared to life-threatening conditions, so they are not require immediate assessment, making this incorrect for prioritization.
Choice B reason: New-onset tachypnea in a hip fracture client suggests a life-threatening issue like pulmonary embolism, a common complication due to immobility. This requires immediate assessment to ensure airway and circulatory stability, aligning with ABC priorities, making it the correct first action for the nurse to take.
Choice C reason: Sinus arrhythmia is typically benign, especially with cardiac monitoring in place. It does not indicate an immediate threat compared to respiratory distress, so this client can be assessed later, making this incorrect for first priority assessment.
Choice D reason: Chest pain in a hypertensive client is concerning for cardiac issues, but tachypnea in a hip fracture suggests a more acute, potentially fatal condition like pulmonary embolism. Respiratory distress takes precedence, so this is incorrect for immediate assessment.

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A nurse is discussing strategies for cost containment with a group of nurse managers. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who is scheduled for a left knee arthroplasty. Which of the following statements regarding informed consent indicates client understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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