Nurses on an inclient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?
Use clean gloves rather than sterile gloves for colostomy care.
Store opened bottles of normal saline in a refrigerator for up to 48 hr.
Return unused supplies from the bedside to the unit's supply stock.
wait to dispose of sharps containers until they are completely full.
The Correct Answer is A
A. For colostomy care, clean gloves are generally sufficient, as the procedure does not require a sterile field. This approach can reduce costs associated with using sterile supplies unnecessarily while maintaining proper hygiene.
B. Refrigeration of saline for 48hrs compromises sterility increasing risk of infections
C. Returning unused supplies helps manage inventory effectively and reduces waste, contributing to cost containment. However, many facilities have specific policies regarding returning supplies, so this must be done in accordance with those policies.
D. Completely full sharp containers are a hazard in the work in the environment and can lead to more harm
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A DNR (Do Not Resuscitate) order means that CPR should not be initiated in the event of a cardiac arrest. This however, does not include other aspects of care that may be required by the client. Comfort measures should still be used unless stated otherwise.
A. A confused client lacks the mental capacity to refuse care and the nurse is right.
B. Respiratory depression is not a contraindication to opioid therapy in cases of pain during end of life care.
D. The nurse has the right to decline participation in elective abortion cases.
Correct Answer is C
Explanation
Inability to void will cause bladder distention which is a common trigger to autonomic dysreflexia. Autonomic dysreflexia is an emergency as it leads to severe and sudden rise in blood pressure.
A. Peripheral vascular disease leads to decreased or absent blood flow to the distal extremities which is limb threatening. This client require review but not as urgent as A
B. Fever in an expected finding in an infectious process such as MRSA as part of the body’s response.
D. Newly diagnosed client with cancer requires emotional support before chemotherapy which is not an emergency.
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