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 B

Explanation

A. "Your provider will be here later today." Informing the guardian about the provider’s availability does not directly address their request or provide immediate support. While the provider plays a role in discharge planning, the nurse should offer guidance and resources to help the guardian understand the process of taking the child home.

B. "I can give you information on what that would involve." Acknowledging the guardian’s request and offering relevant information demonstrates support and facilitates informed decision-making. Providing education on home care, hospice options, and necessary resources ensures that the guardian is prepared for the transition while maintaining open communication.

C. "I understand how you feel. I felt the same way when my sibling was terminally ill." Sharing personal experiences shifts the focus away from the guardian’s concerns and may not be appropriate in a professional setting. While empathy is essential, the response should remain patient-centered and focused on providing relevant information and support.

D. "I think you should speak with social services about your request." Referring the guardian to social services may be part of the process, but immediately redirecting the conversation does not acknowledge their concerns. The nurse should first provide direct information and reassurance before involving additional support services as needed.

A. Perform a testicular self-examination weekly. B. Do not palpate the epididymis when performing a testicular self-examination. C. Expect testicles to be uniform in consistency when performing a testicular self-examination. D. Perform a testicular self-examination after a cool shower.

Correct Answer is C

Explanation

A. The recommendation is monthly, not weekly. Weekly exams are unnecessary and may increase anxiety.

B. Do not palpate the epididymis when performing a testicular self-examination: It is important to palpate the entire testicle, including the epididymis, during a self-examination. Understanding how to properly examine all parts of the testicles helps individuals recognize what is normal and identify any abnormalities.

C. Normal testicles should feel smooth, firm, and uniform in consistency. A hard, painless lump or any change in size/consistency should be reported.

D. Perform a testicular self-examination after a cool shower: It is generally recommended to perform a testicular self-examination after a warm shower. The warmth helps relax the scrotum, making it easier to examine the testicles thoroughly and detect any abnormalities.

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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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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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