A manager nurse for a medical-surgical unit is preparing the agenda for a unit meeting.

Exhibits

Which items should the nurse manager include in unit meeting? For each identified item, indicate if the nurse manager should include during unit meeting or if the content should be addressed with a specific individual team member.

Review the incident of disruptive behavior and discuss the principles of civility and respect.

Review mandatory nursing skills and competencies for nursing.

Meet to talk about mislabeling of laboratory specimen and discuss the policy and procedure for how to do it correctly.

Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.

Review central line infections rates and causes. Include review of proper care of central lines.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Review the incident of disruptive behavior and discuss the principles of civility and respect.

Unit meeting

Rationale: The incident of disruptive behavior between nurses should be addressed in a unit meeting to foster a culture of respect and teamwork. Discussing this issue with the entire team will help reinforce appropriate behavior and conflict resolution.

Review mandatory nursing skills and competencies for nursing.

Unit meeting

Rationale: Mandatory nursing skills competencies are essential for ensuring that all staff meet the required standards. This should be reviewed during the unit meeting to ensure that all nurses are up to date and compliant with required competencies.

Meet to talk about mislabeling of laboratory specimens and discuss the policy and procedure for how to do it correctly.

Individual Team Member

Rationale: The issue of mislabeling specimens should be addressed directly with the specific individual (TJ, the AP) involved. It’s important to provide corrective feedback and retraining for the individual responsible for the issue.

Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.

Unit meeting

Rationale: The near-miss fall incident involves issues that are relevant to the entire unit, such as bed position, use of bed alarms, and rounding practices. Discussing this in a unit meeting can help prevent future incidents by educating all staff on proper procedures.

Review central line infections rates and causes. Include review of proper care of central lines.

Unit meeting

Rationale: Reviewing central line infection rates and proper care is important for the entire team to ensure adherence to best practices and reduce infection rates. This is best addressed in a unit meeting to promote awareness and compliance among all staff.

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Correct Answer is A

Explanation

Rationale:

A. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate is a priority to ensure the safety and proper positioning of a vulnerable postoperative patient.

B. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma can be done later, as it is not as critical as ensuring the safety of a postoperative infant.

C. Collect a stool sample for ova and parasites from a school-age child is important but not as urgent as checking restraints for a postoperative infant.

D. Engage a toddler in play is important for developmental support but is not as urgent as tasks directly related to patient safety and postoperative care.

A. Compare the number of medication errors before and after the action was implemented. B. Conduct a study about the time and money costs of implementing the change. C. Establish a benchmark to identify a standard of performance. D. Provide the staff with a questionnaire to quantify staff satisfaction with the changes.

Correct Answer is A

Explanation

Rationale:

A. Comparing the number of medication errors before and after implementing changes provides a direct measure of the effectiveness of those changes.

B. Conducting a study on costs is relevant but not directly related to evaluating the effectiveness in reducing medication errors.

C. Establishing a benchmark is useful for setting standards but does not measure the impact of changes already implemented.

D. Quantifying staff satisfaction is important for assessing the acceptance of changes but does not directly measure the effectiveness in reducing errors.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with an assistive personnel (AP) to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?

Correct Answer is A

Explanation

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

Correct Answer is A

Explanation

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A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take?

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