A nurse on an impatient care unit is working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

Store opened bottles of normal saline in a refrigerator for up to 48 hours

Wait to dispose of sharps containers until they are completely full

Use clean gloves rather than sterile gloves for colostomy care

Return unused supplies from the bedside to the unit’s supply stock

Answer and Explanation

The Correct Answer is C

- Choice A: Storing opened bottles of normal saline in a refrigerator for up to 48 hours is not recommended because it poses a risk of bacterial contamination. Saline is a sterile solution, and once opened, it should be used within a specific time frame, typically 24 hours, to ensure safety and efficacy.
- Choice B: Waiting to dispose of sharps containers until they are completely full is not advisable due to safety concerns. Overfilled sharps containers can increase the risk of needle-stick injuries, which can lead to serious infections. It is essential to follow proper disposal protocols to maintain a safe environment for both patients and healthcare workers.
- Choice C: Using clean gloves rather than sterile gloves for colostomy care is an appropriate action to include in a cost-containment plan. Clean gloves are sufficient for colostomy care because the stoma is considered a clean, not sterile, area. This practice can reduce costs without compromising patient care.
- Choice D: Returning unused supplies from the bedside to the unit’s supply stock is generally not appropriate because it can lead to cross-contamination. Once supplies are taken to a patient's bedside, they should not be returned to the general supply to prevent the spread of infection.

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Correct Answer is A

Explanation

A. The nurse's immediate priority is the client's safety. Assisting the AP with the transfer ensures that the client is safely moved and prevents injury to both the client and the AP. Once the client is safely transferred, further steps can be taken to address the AP's technique.

B. Demonstrating the proper technique is important for education, but the immediate concern is ensuring the safety of the client. This can be done after the client has been safely transferred.

C. Instructing the AP to ask for assistance when unsure about a task is useful for future practice but does not address the immediate concern of safely transferring the client in this situation.

D. Referring the AP to the facility procedure manual may be beneficial for learning and reviewing proper techniques but is not a priority when the client's safety is at risk during the transfer.

A. Continue the medication dosages that relieve the client’s pain B. Contact the provider about replacing the opioid with an NSAID C. Administer the benzodiazepine but withhold the opioid D. Withhold the benzodiazepine but continue the opioid

Correct Answer is D

Explanation

A: Continuing the medication dosages that relieve the client's pain may not be appropriate if the client is somnolent and difficult to arouse, as this indicates potential over-sedation or respiratory depression, which can be life-threatening.
B: Contacting the provider about replacing the opioid with an NSAID may not address the immediate concern of over-sedation and could result in inadequate pain control, as NSAIDs may not provide the same level of pain relief for terminal illness.
C: Administering the benzodiazepine but withholding the opioid may not be advisable because benzodiazepines can contribute to sedation. If the client is already somnolent, additional benzodiazepines could exacerbate the situation.
D: Withholding the benzodiazepine but continuing the opioid may be the best action because opioids are primarily for pain control, and by reducing the benzodiazepine, which contributes to sedation, the nurse may manage the client's pain while also addressing the over-sedation.

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A nurse on an impatient care unit is working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

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Naxlex Comprehensive Predictor Exams

A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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