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?

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.

Change total parenteral nutrition IV tubing every 48 hr.

Answer and Explanation

The Correct Answer is C

Choice A Reason:
Replacing total parenteral nutrition solution bags every 48 hr is incorrect. Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial contamination and ensure the integrity of the solution. However, the frequency of bag changes may vary depending on institutional protocols and specific patient needs.
Choice B Reason:
Replacing peripheral IV solution bags every 96 hr is incorrect. Peripheral IV solution bags may be changed less frequently than every 96 hours, as long as the solution remains sterile and the integrity of the infusion system is maintained. However, the frequency of bag changes may vary based on institutional policies and patient-specific factors.
Choice C Reason:
Changing peripheral IV primary tubing every 96 hr is correct. Changing peripheral IV primary tubing every 96 hours is a recommendation consistent with infection control guidelines and helps prevent contamination and bloodstream infections. This practice is cost-effective while ensuring patient safety.
Choice D Reason:
Changing total parenteral nutrition IV tubing every 48 hr is incorrect. Total parenteral nutrition (TPN) IV tubing typically needs to be changed more frequently than every 48 hours to prevent bacterial contamination and ensure the integrity of the TPN solution. However, the frequency of tubing changes may vary depending on institutional protocols and patient-specific factors.

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Correct Answer is A

Explanation

Choice A Reason:
Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.

Choice B Reason:
A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client. Negative-pressure rooms are used for clients with airborne infectious diseases to prevent the spread of pathogens to other areas.

Choice C Reason:
Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.

Choice D Reason:
An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.

A. "I will be given contrast dye during this test." B. "I might have to wear a nose clip during this test." C. "I might have a tube inserted into my airway during this test." D. "I will run on a treadmill during this test."

Correct Answer is B

Explanation

Choice A Reason:
"I will be given contrast dye during this test." This statement is incorrect. Pulmonary function tests typically do not involve the use of contrast dye, as they focus on measuring lung function rather than visualizing anatomical structures.
Choice B Reason:
"I might have to wear a nose clip during this test." This statement is correct. Nose clips are commonly used during pulmonary function tests to ensure that air is only breathed in and out through the mouth, allowing for accurate measurement of lung function parameters.
Choice C Reason:
"I might have a tube inserted into my airway during this test." This statement is incorrect. While this statement reflects a potential misunderstanding or confusion about the procedure, it is not typically the case for a routine pulmonary function test. Invasive procedures such as bronchoscopy may involve inserting a tube into the airway, but it is not part of a standard pulmonary function test.
Choice D Reason:
"I will run on a treadmill during this test." This statement is incorrect. Pulmonary function tests do not involve physical exercise like running on a treadmill. Instead, they typically involve breathing maneuvers and measurements to assess lung function.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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a

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