A nurse is evaluating an assistive personnel's (AP) use of materials while providing client care. Which of the following actions by the AP demonstrates cost-effective use of resources?
Wearing sterile gloves when collecting a urine specimen from an indwelling urinary catheter
Donning an N95 mask before caring for a client who is on contact precautions
Returning unopened supplies to the storage room
Replacing a continuous feeding administration set every 8 hr
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8"]
Explanation
Prescribed Dose: 30 mg/kg/day
Child’s Weight: 20 kg
Dosing Schedule: Every 8 hours (3 doses per day)
- Calculate the total daily dose
Total Daily Dose = 30 × 20
= 600 mg/day
- Calculate the dose per administration
Dose per administration = Total Daily Dose ÷ 3
Dose per administration = 600 ÷ 3
= 200 mg per dose
- Determine the volume to administer using the available concentration
Available Concentration: 125 mg/5 mL
Volume per dose = (200 ÷ 125) × 5
Volume per dose = 1.6 × 5
Volume per dose = 8 mL
Correct Answer is A
Explanation
A. Potassium: Furosemide is a loop diuretic that increases renal excretion of sodium, chloride, and water, which can lead to significant potassium loss. Monitoring serum potassium levels is essential to prevent hypokalemia, which can cause muscle weakness, arrhythmias, and cardiac complications, especially in infants who are more vulnerable to electrolyte imbalances.
B. WBC count: Furosemide does not typically affect white blood cell production or immune function. Monitoring WBC count is not indicated solely for furosemide therapy unless the infant has another condition that requires hematologic surveillance.
C. Iron: Furosemide does not interfere with iron metabolism or absorption. Iron studies are unrelated to diuretic therapy and are not required unless the infant has known anemia or is receiving iron supplementation for another reason.
D. Amylase: Amylase is a pancreatic enzyme monitored in cases of pancreatic disorders or suspected pancreatitis. Furosemide therapy does not directly affect pancreatic function, so amylase measurement is not indicated as part of routine monitoring for this medication.
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