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
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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Related Questions
Correct Answer is B
Explanation
a. While agreeing to keep the ring for the client until after the surgery may seem like a considerate gesture, it is not the standard procedure for ensuring the safety and security of the client's belongings.
b. Placing the client's ring in the facility safe ensures that it is securely stored and protected from loss or theft during the surgical procedure.
c. Taping the ring securely to the client's finger is not recommended as it may interfere with circulation or cause discomfort for the client.
d. Placing the ring in the bag with the client's clothes may not provide adequate security, especially if the bag is left unattended during the surgical procedure.
Correct Answer is B
Explanation
a. A visitor experiencing a minor burn is a safety incident but not necessarily an ethical dilemma.
b. This scenario involves a conflict between parental autonomy and the adolescent's right to refuse treatment, representing an ethical dilemma.
c. This scenario involves a medication error, which is a patient safety issue but not necessarily an ethical dilemma unless there are complex issues surrounding the circumstances of the error.
d. Operating on the wrong side of a client's body is a serious medical error and a patient safety issue but may not inherently involve an ethical dilemma unless there are factors such as informed consent or negligence involved.
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