A nurse manager on an acute care unit is preparing a staff presentation about promoting cost-effective care. Which of the following strategies should the nurse plan to include in the presentation?

Change IV solution bags every 36 hr.

Avoid the delegation of hygiene care to assistive personnel (AP).

Wear sterile gloves when removing urinary retention catheters.

Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.

Answer and Explanation

The Correct Answer is D

A. Change IV solution bags every 36 hr: Changing IV solution bags every 36 hours may not align with evidence-based practices aimed at promoting cost-effective care. Instead, guidelines typically recommend changing them based on clinical need or specific protocols, which can help reduce waste and costs.

B. Avoid the delegation of hygiene care to assistive personnel (AP): Delegating hygiene care to assistive personnel is essential for effective team functioning and cost-effective care. Preventing delegation can lead to increased workloads for nursing staff, which may not be the most efficient use of resources.

C. Wear sterile gloves when removing urinary retention catheters: Wearing sterile gloves when removing urinary retention catheters is not necessary; clean gloves are sufficient for this procedure. Promoting correct practices that align with guidelines can help reduce costs associated with unnecessary supplies.

D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions: Educating staff on the correct use of PPE is vital for preventing infection, reducing the spread of illness, and minimizing healthcare costs associated with complications. Proper training ensures that resources are used effectively, promoting both safety and cost-effective care.

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Correct Answer is D

Explanation

A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.

B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.

C. Oxybutynin: Oxybutynin is an anticholinergic used to treat overactive bladder symptoms. It can be prescribed for clients with UTIs to help relieve bladder spasms, but verification may depend on the individual client’s medical history.

D. Phenazopyridine: Phenazopyridine is a urinary analgesic that helps relieve pain and discomfort associated with UTIs. However, it does not treat the infection itself and can mask symptoms. It is essential to verify this prescription with the provider to ensure it is appropriate for the client, especially if the provider has not specified it or if there are concerns about potential misuse.

A. Report of back pain associated with twisting at the waist B. Absence of a dental health provider C. Lives in a home with 25 other agricultural workers D. Report of muscle twitching and skin rash

Correct Answer is D

Explanation

A. Report of back pain associated with twisting at the waist. Back pain is a common musculoskeletal issue among agricultural workers due to repetitive movements and heavy lifting. While it requires intervention, it is not immediately life-threatening and does not take priority over acute symptoms that may indicate poisoning or a severe reaction.

B. Absence of a dental health provider. Lack of dental care can contribute to long-term health complications, but it does not pose an immediate risk requiring urgent intervention. Addressing acute medical conditions takes precedence over routine preventive care.

C. Lives in a home with 25 other agricultural workers. Overcrowded living conditions can increase the risk of communicable diseases and poor hygiene-related health issues. However, it is a social determinant of health rather than an urgent clinical concern that requires immediate action.

D. Report of muscle twitching and skin rash. Muscle twitching and skin rash can indicate pesticide poisoning, a common occupational hazard for agricultural workers. Pesticide exposure can lead to serious neurological and systemic effects, making this the priority for immediate assessment and intervention.

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A nurse manager on an acute care unit is preparing a staff presentation about promoting cost-effective care. Which of the following strategies should the nurse plan to include in the presentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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