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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use surveillance to investigate outbreaks of foodborne illness. Investigating outbreaks falls under the assessment function of public health, which involves monitoring and identifying health problems within the community through data collection and analysis.
B. Monitor the incidence rates of varicella every 2 months. Tracking disease incidence is part of the assessment function, as it involves ongoing surveillance to detect trends and potential public health concerns. This data helps in planning and evaluating interventions but does not directly ensure service delivery.
C. Organize an immunization clinic for at-risk members of the community. Assurance involves ensuring that essential public health services are available and accessible. Organizing an immunization clinic directly provides a critical health service to protect vulnerable populations, making it an example of the assurance function.
D. Educate the community about the health risks of alcohol use. Providing health education aligns with the policy development function, which focuses on informing and empowering the community to make healthier choices through laws, regulations, and initiatives.
Correct Answer is A
Explanation
A. Teach the client about the potential health risks of leaving early: The first action the nurse should take is to inform the client about the potential health risks associated with leaving the facility against medical advice. Providing this information ensures that the client is fully informed about the consequences of their decision, which is essential for promoting their safety and well-being.
B. Ask the client to sign a document stating they are leaving AMA: While obtaining a signed document is necessary, it should occur after the client has been informed about the risks involved in leaving. The nurse should first ensure the client understands the implications of their decision.
C. Document the client's statement in direct quotes in the medical record: Documentation is important but should not be the first action taken. The nurse must first address the client’s immediate request and provide information regarding potential health risks before focusing on documentation.
D. Complete an incident report detailing the client scenario: Completing an incident report may be necessary later, but the priority should be to address the client’s safety and ensure they are making an informed decision about leaving the facility. The nurse should first engage with the client regarding their choice and the associated risks.
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