A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?

Plan budget needs based on average client stay over 6 months.

Staff an additional assistive personnel each shift.

Reserve budgetary planning for senior management.

Encourage staff to participate in quality improvement projects.

Answer and Explanation

The Correct Answer is D

A. Planning budgets based only on average length of stay may overlook opportunities for cost reduction and efficiency improvements.
B. Staffing additional personnel increases costs rather than reducing them.
C. Budget planning should be collaborative; limiting it to senior management misses frontline insights.
D. Encouraging staff participation in quality improvement projects can enhance efficiency, reduce errors, and lower costs in acute care.

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Correct Answer is ["A","D"]

Explanation

A.Client 1 (Pertussis) requires droplet precautions, which include wearing surgical masks when within 3 feet of the client. The staff are wearing masks only within 1 foot, so this requires follow-up.
B.Client 2 (Clostridium difficile) requires contact precautions, including gown and gloves during care, which is correctly implemented.
C.Client 3 (Herpes simplex) requires contact precautions with gown and gloves, which is correctly implemented.
D.Client 4 (Mycobacterium tuberculosis) requires airborne precautions with a negative-pressure room (not positive airflow) and N95 respirators. The client is placed in a positive airflow room, which is incorrect and requires follow-up.
E.Client 5 (Streptococcal pharyngitis) requires droplet precautions, including private room and surgical mask during transport, which is correctly implemented.

A. Ambulates a client who is 2 days postoperative following a total hip arthroplasty B. Measures the urinary output of a client who has an indwelling urinary catheter C. Evaluates the effectiveness of the client's pain medication D. Performs a simple dressing change on a client's foot wound

Correct Answer is C

Explanation

A.Ambulating a client who is 2 days postoperative can be delegated to an AP if the nurse has assessed the client and determined it is safe.
B.Measuring urinary output from an indwelling catheter is within the AP’s scope of practice and does not require intervention.
C.Evaluating the effectiveness of pain medication requires nursing judgment and is not within the AP’s role. This action requires intervention by the nurse.
D.Performing a simple dressing change may be delegated to an AP if the wound is not complex and the nurse has provided proper instruction.

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A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infection control nurse is assessing infection control precautions implemented by staff in a facility. Exhibits Client wears a surgical mask when transported outside their room. Select 2 client situations that require follow-up by the infection control nurse

Correct Answer is ["A","D"]

Explanation

A nurse on a medical-surgical unit is observing an assistive personnel (AP) provide care for a group of clients. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer is C

Explanation

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