A nurse manager on a medical surgical unit is auditing the use of client care resources. Which of the following actions should the nurse manager implement as a strategy to provide cost-effective care?
Make telemetry monitoring apart of standardized client care.
Schedule additional nursing staff to clean equipment.
Instruct nurses to repeat blood glucose tests for verification.
Estimate the length of hospitalization for clients.
The Correct Answer is D
Rationale:
A. Make telemetry monitoring a part of standardized client care: Routine telemetry for all clients is not cost-effective and should be based on specific clinical indications. Unnecessary monitoring increases healthcare costs without improving outcomes in low-risk patients.
B. Schedule additional nursing staff to clean equipment: While maintaining clean equipment is essential, hiring extra nursing staff for this task increases labor costs. Cleaning responsibilities should be appropriately assigned to support staff to manage resources efficiently.
C. Instruct nurses to repeat blood glucose tests for verification: Repeating tests without clinical necessity leads to redundant use of supplies and increased laboratory costs. Verifications should only be done when readings are inconsistent or clinically questionable.
D. Estimate the length of hospitalization for clients: Predicting length of stay helps in planning care, managing resources, and coordinating timely discharge. This strategy supports efficient care delivery, reduces unnecessary delays, and promotes cost-effective management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Fidelity: Fidelity refers to faithfulness in keeping promises and maintaining trust in the nurse-client relationship. While important, it does not directly relate to preventing physical harm, as in this scenario.
B. Autonomy: Autonomy involves respecting the client’s right to make independent decisions about their care. Removing a fall hazard is a safety intervention, not a matter of supporting self-determination.
C. Veracity: Veracity is the obligation to tell the truth and provide accurate information. It is not applicable to a physical safety measure like removing a hazard.
D. Nonmaleficence: Nonmaleficence is the duty to do no harm. By removing a fall hazard, the nurse is actively preventing potential injury, thereby upholding this ethical principle through harm prevention.
Correct Answer is A
Explanation
Rationale:
A. Decreased oxygen saturation: Disseminated intravascular coagulation (DIC) leads to widespread clotting and subsequent bleeding, impairing oxygen delivery to tissues. Microthrombi can block pulmonary vessels, reducing gas exchange and causing hypoxia.
B. Hypertension: DIC is typically associated with hypotension due to systemic inflammation, blood loss, and poor perfusion, not hypertension. Shock states in sepsis and DIC often cause a drop in blood pressure.
C. Bradycardia: Clients with sepsis and DIC are more likely to develop tachycardia in response to hypotension and poor oxygenation. Bradycardia is not characteristic of DIC and may indicate a different or late-stage complication.
D. Increased urine output: DIC often results in decreased urine output due to renal hypoperfusion and possible acute kidney injury. Increased output would be atypical in a client with progressing DIC.
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