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.

Replace total parenteral nutrition solution bags every 48 hr.

Replace peripheral IV solution bags every 96 hr.

Change peripheral IV primary tubing every 96 hr.

Answer and Explanation

The Correct Answer is D

A. Total Parenteral Nutrition (TPN) IV tubing should be changed every 24 hours due to the high risk of infection associated with TPN. Changing it every 48 hours is not recommended and could lead to increased patient risk.

B. Total parenteral nutrition solution bags should be changed every 12 to 24 hrs depending on the constituents

C. Peripheral IV solution bags should be replaced every 24 hrs.

D The Infusion Nurses Society (INS) Standards of Practice recommend changing peripheral IV primary tubing every 96 hours. This is considered a cost-effective practice as it reduces the frequency of changing the tubing, thus saving resources, without compromising patient safety.

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Correct Answer is D

Explanation

Rating the pain scale of a client is a low risk task that can be performed by assistive personnel

A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse

B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse

C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention

A. A young adult client who is participating in a medical research study B. A middle adult client who leaves the facility against medical advice C. An adolescent client whose parents refuse a blood transfusion for religious reasons. D. An older adult client who has advance directives on file

Correct Answer is C

Explanation

In this scenario, the nurse has a role to respect the parents’ autonomy but also be an advocate for the health of the client who is a minor. The nurse needs the input of the ethics committee to assist in navigating the ethical dilemma.

The other clients’, A, B and D, do not pose any ethical dilemmas for the nurse as they are adult and can make legally binding decisions.

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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 nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

Correct Answer is D

Explanation

A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?

Correct Answer is C

Explanation

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