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 A

Explanation

A. Verify the spelling of the medication with the provider: This is important to ensure accuracy in transcription and to prevent medication errors. Verifying the spelling of the medication with the provider helps confirm the correct medication is being prescribed.

B. Transcribe prescriptions received via a voicemail recording: Transcribing prescriptions from voicemail recordings may introduce errors and is not a recommended practice due to potential misinterpretation or misunderstanding of the information.
C. Use standard abbreviations when obtaining a telephone prescription: While using standard abbreviations is generally encouraged in healthcare documentation, it's essential to prioritize clarity and accuracy when transcribing prescriptions, especially over the phone.
D. Request that the provider call prescriptions in to the pharmacy: While this may be a part of the process, it does not address the essential step of verifying the medication details with the provider to ensure accuracy.

A. "I will place a client who requires protective isolation in a negative airflow room." B. "I will wear a cover gown when caring for a client who has herpes simplex." C. "I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile." D. "I will wear an N95 respirator mask when caring for a client who is on contact precautions."

Correct Answer is B

Explanation

A. "I will place a client who requires protective isolation in a negative airflow room.": Protective isolation is typically used for clients who are immunocompromised, not necessarily in negative airflow rooms. Negative airflow rooms are often used for clients with airborne infections, such as tuberculosis.

B. "I will wear a cover gown when caring for a client who has herpes simplex.": This is the correct answer. Herpes simplex is a virus that can be transmitted through direct contact or contact with contaminated surfaces, so wearing a gown can help prevent the spread of the infection.
C. "I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile.": Alcohol-based hand sanitizers are not effective against Clostridium difficile spores. Handwashing with soap and water is recommended for C. difficile infection control.
D. "I will wear an N95 respirator mask when caring for a client who is on contact precautions.": N95 respirator masks are typically used for airborne precautions, not contact precautions.

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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 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?