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 peripheral IV primary tubing every 96 hr.

Replace peripheral IV solution bags every 96 hr.

Replace total parenteral nutrition solution bags every 48 hr.

Change total parenteral nutrition IV tubing every 48 hr.

Answer and Explanation

The Correct Answer is A

A.   Changing peripheral IV primary tubing every 96 hours is a standard practice that helps prevent infection and maintain the integrity of the IV system while also being cost-effective by reducing unnecessary changes.
B.   While replacing peripheral IV solution bags every 96 hours might seem like a cost-saving measure, it may not align with best practices, as solution bags should be changed based on the facility's policy and the condition of the solution.
C.   Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial growth and ensure the integrity of the solution.
D.   Changing total parenteral nutrition (TPN) IV tubing every 48 hours may be necessary to prevent contamination and maintain the sterility of the infusion, which can contribute to better patient outcomes despite potentially higher costs.

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Correct Answer is C

Explanation

A. Placing the soiled dressing on a nearby table is not a safe handling technique because it can contaminate the surface and increase the risk of infection. Proper disposal of soiled dressings in a designated biohazard container is essential to maintain a sterile environment.

B. Opening sterile supplies prior to removing the old dressing can compromise the sterility of the supplies. It is important to remove the old dressing first, clean the wound, and then open sterile supplies to ensure they remain uncontaminated.

C. Discarding clean gloves after removing the old dressing demonstrates an understanding of infection control. This action prevents cross-contamination between the old dressing and the new sterile supplies, maintaining a sterile field.

D. Using gauze to clean the wound from the outside to the center is incorrect because it can spread bacteria from the surrounding skin into the wound. The proper technique is to clean from the center of the wound outward to prevent introducing contaminants into the wound.

A. Bite block B. Yankauer suction device C. Large-handled utensils D. Nasal cannula and oxygen

Correct Answer is B

Explanation

- A. Bite block: This is not the correct choice. A bite block is used to prevent a patient from biting down on tubes or other equipment, not typically required for a patient with dysphagia.
- B. Yankauer suction device: This is the correct choice. A Yankauer suction device is used to clear the oral cavity of secretions or food particles, which is essential for a patient with dysphagia to prevent aspiration.
- C. Large-handled utensils: While these may be helpful for a patient with dysphagia to feed themselves more easily, they are not as critical as ensuring the airway is clear of obstructions.
- D. Nasal cannula and oxygen: This equipment would be necessary if the patient had respiratory issues, but it is not specifically related to the management of dysphagia.

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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 B

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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?