A nurse manager is evaluating a nursing unit for cost effectiveness. Which of the following activities demonstrates effective cost containment?

Implementing rigid yearly budget planning

Maintaining budget planning between senior leadership

Ensuring proper documentation of client services

increasing the unit budget above expected needs

Answer and Explanation

The Correct Answer is C

A.   While yearly budget planning is important, being rigid can be counterproductive. The healthcare environment is dynamic, and a rigid budget does not allow for flexibility to adjust to changing circumstances, unexpected needs, or variations in client acuity.
B.   Budget planning that is confined to senior leadership may lack input from frontline staff who are directly involved in day-to-day operations and understand the actual needs and resource usage.
C.   Proper documentation of client services is crucial for cost containment. Accurate documentation ensures that all services provided are recorded and billed appropriately, which helps prevent errors and overbilling. It also supports accurate tracking of resource use and client care, which can identify areas where costs can be reduced or managed more effectively.
D.   Increasing the unit budget above expected needs does not demonstrate cost containment; rather, it can lead to inefficiencies and unnecessary spending. Effective cost containment focuses on managing and optimizing existing resources rather than increasing the budget without a justified need.

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Correct Answer is D

Explanation

A. 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.
B. 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.
C. 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.
D. 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.

A. Report of photophobia B. Increased temperature C. Decreased level of consciousness D. Generalized rash over trunk

Correct Answer is C

Explanation

A. Photophobia (sensitivity to light) is a common symptom in meningitis due to irritation of the meninges. While it is an important symptom to note and manage, it does not typically represent an immediate life-threatening condition.
B. An increased temperature (fever) is a common finding in meningitis and indicates an inflammatory response. While fever is important to manage, it is not as urgent as changes in consciousness or neurological status.
C. A decreased level of consciousness is a critical finding in a client with meningitis. This can indicate a worsening of the condition, such as increased intracranial pressure, brain herniation, or severe complications. Changes in consciousness are potentially life-threatening and require prompt evaluation and intervention by the healthcare provider to address any emergent issues and prevent further deterioration.
D. A generalized rash could indicate a specific type of meningitis, such as meningococcal meningitis, which can present with a characteristic petechial or purpuric rash. While a rash is a significant finding and should be reported, it is not as immediately critical as changes in consciousness.

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A nurse manager is evaluating a nursing unit for cost effectiveness. Which of the following activities demonstrates effective cost containment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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