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. Documenting nursing interventions as they are completed ensures accuracy and helps avoid missing critical information. This practice also enhances time management by reducing the likelihood of forgetting details.

B. Skipping breaks can lead to fatigue and reduce productivity over time. It's important to take breaks to maintain focus and energy levels.

C. Completing similar tasks for all clients may seem efficient but can lead to delays in addressing higher-priority needs. Tasks should be prioritized based on client needs.

D. Completing the lowest priority task at the beginning of the shift is inefficient, as higher-priority tasks should be addressed first to ensure timely care and prevent complications.

A. A client who experienced a brief loss of consciousness B. A client who has fixed pupils C. A client who has major burns covering 70% of their body D. A client who has a compromised airway

Correct Answer is D

Explanation

A. A brief loss of consciousness suggests a less immediate need for life-saving intervention, which would not warrant a red tag; this client would likely be assigned a yellow tag for delayed care.

B. Fixed pupils indicate severe neurological damage or death, making this client unlikely to benefit from emergency interventions. In a mass casualty event, this client would likely be assigned a black tag.

C. A client with burns covering 70% of their body is likely in critical condition, but due to the extensive nature of the injuries, this client may not receive immediate life-saving interventions and might be assigned a yellow or black tag.

D. A compromised airway represents an immediate, life-threatening condition requiring urgent intervention, making this client a priority for treatment and thus assigned a red tag.

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