The nurse pilots a discharge program to investigate trends in readmission rates for the unit. Results indicate that clients who receive follow-up discharge contact had a significantly lower rates of readmission. Which statement justifies the practice of the additional nursing hours required to follow up with discharge instructions?
Demonstrate nursing-led research outcomes.
Improve nursing staff efficiency.
Earn administrative promotions.
Available funding to increase nursing staff.
The Correct Answer is A
A. Demonstrating nursing-led research outcomes is the correct justification. By showing that follow-up discharge contact reduces readmission rates, the nurse provides evidence-based support for dedicating additional nursing hours. This outcome highlights the direct impact of nursing interventions on patient safety, quality of care, and health outcomes, justifying the investment of resources and time.
B. Improving nursing staff efficiency focuses on workflow optimization but does not address the need to justify extra hours for patient follow-up based on measurable outcomes. Efficiency alone does not validate the intervention’s clinical importance.
C. Earning administrative promotions is a professional benefit but is not a valid justification for implementing additional nursing hours. Resource allocation decisions are driven by patient care outcomes, not individual career advancement.
D. Availability of funding may support the initiative but is not in itself a justification for the practice. The practice is justified by its demonstrated effectiveness in improving patient outcomes, which provides a rationale for allocating funding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Taking an analgesic and exposing the breasts to air may provide temporary comfort but does not address the underlying cause of engorgement. Air exposure can sometimes stimulate milk production, worsening engorgement in a bottle-feeding client.
B. Expressing milk by hand relieves engorgement but can stimulate lactation. For a client who is bottle feeding and not intending to breastfeed, this may prolong or increase milk production, which is not desirable.
C. Placing warm packs on the breasts can promote milk let-down and increase engorgement, making the discomfort worse. Warmth is generally recommended for breastfeeding clients to facilitate milk flow, not for those who are weaning or bottle feeding.
D. This is the most appropriate recommendation. Avoiding breast stimulation (such as massaging or expressing milk) and wearing a supportive, tight-fitting bra helps reduce blood flow and milk production, allowing the breasts to gradually regress. Cold compresses can also be applied to relieve discomfort. These interventions decrease swelling and tenderness without promoting further milk production.
Correct Answer is B
Explanation
A. Meeting with staff to assess feelings about the impaired nurse’s return is important for team morale and communication, but it does not address the nurse’s readiness for safe practice or regulatory compliance. Staff opinions cannot replace professional assessment of fitness to practice.
B. Consulting with the impaired nurse’s therapist or treatment provider is the most appropriate and evidence-based action. The therapist can provide guidance on the nurse’s current readiness, ongoing treatment needs, and risk of relapse, ensuring the nurse can safely resume patient care duties. This step protects patient safety, aligns with institutional policies, and complies with professional regulatory standards for returning nurses after impairment.
C. Allowing the impaired nurse to return and simply monitoring medication administration without professional assessment is unsafe and inappropriate. The nurse’s ability to safely provide care must be formally evaluated rather than assumed after counseling.
D. Assigning routine RN responsibilities immediately after treatment completion ignores the need for verification of competence and ongoing monitoring. Recovery from substance use disorders is an ongoing process, and readiness to return to practice must be confirmed by qualified professionals.
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