A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Change total parenteral nutrition IV tubing every 48 hr.

Change peripheral IV primary tubing every 96 hr.

Replace peripheral IV solution bags every 96 hr.

Replace total parenteral nutrition solution bags every 48 hr.

Answer and Explanation

The Correct Answer is B

A. Changing total parenteral nutrition (TPN) tubing every 48 hours is incorrect. According to most guidelines, TPN tubing should be changed every 24 hours to reduce the risk of infection.

B. Changing peripheral IV primary tubing every 96 hours is a recommended practice in many healthcare settings. It balances infection prevention with cost-effectiveness and is widely accepted for maintaining IV line sterility.

C. Replacing peripheral IV solution bags every 96 hours would not be appropriate, as IV fluid bags should typically be replaced every 24 hours to prevent bacterial contamination.

D. Replacing TPN solution bags every 48 hours is not advisable, as TPN solutions should be replaced every 24 hours to minimize infection risks associated with high-sugar content solutions.

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Correct Answer is A

Explanation

A. Discarding clean gloves after removing the old dressing demonstrates correct infection control practices by minimizing the risk of cross-contamination before handling sterile supplies.

B. Placing the soiled dressing on a nearby table is incorrect as it increases the risk of contaminating the environment and spreading infection; the soiled dressing should be immediately disposed of in a proper waste container.

C. Gauze should be used to clean from the inside of the wound outwards to prevent introducing contaminants into the wound from surrounding skin, which makes cleaning from the outside to the center incorrect.

D. Sterile supplies should only be opened after removing the old dressing to maintain the sterility of the materials and avoid contamination during the dressing change procedure.

A. "HIPAA allows facility-specific coding of client health care information to ensure privacy." B. "Clients who participate in research studies forfeit their HIPAA right to privacy." C. "HIPAA allows clients to request a review of their own medical records." D. "HIPAA prohibits the uploading of photographs of clients' providers to social media sites."

Correct Answer is C

Explanation

A. HIPAA does not specifically allow facility-specific coding of client health information; it mandates strict regulations regarding the privacy and security of patient information.

B. Clients participating in research studies do not forfeit their HIPAA rights; they retain the right to privacy and must be informed about how their information will be used.

C. HIPAA does allow clients to request a review of their medical records, which is a fundamental right under the law, promoting transparency and access to personal health information.

D. While HIPAA does protect client information, the statement incorrectly focuses on providers' photographs rather than client privacy and confidentiality; both are protected under HIPAA regulations.

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A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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