A nurse from a medical floor is serving on a committee that is performing an outcome audit of the hospital. Which of the following aspects of client care is measured by an outcome audit?

Availability and accessibility of blood glucometers.

Quality of nursing care provided.

Nurse-to-patient ratios.

Incidence of central line-associated bloodstream infections.

Answer and Explanation

The Correct Answer is D

Choice A Reason

The availability and accessibility of blood glucometers are important for ensuring that patients can have their blood glucose levels monitored effectively. However, this aspect is more related to the process and structure of care rather than the outcomes. Outcome audits focus on the results of care provided to patients, such as health improvements or complications.

Choice B Reason

The quality of nursing care provided is a broad concept that can encompass various aspects of patient care, including both processes and outcomes. While it is crucial to assess the quality of nursing care, outcome audits specifically measure the results of care, such as patient health status and complications. Therefore, while quality of care is important, it is not the specific focus of an outcome audit.

Choice C Reason

Nurse-to-patient ratios are a structural measure that impacts the delivery of care. Adequate staffing levels are essential for providing high-quality care and ensuring patient safety. However, this measure is related to the resources available and the organization of care rather than the direct outcomes of patient care. Outcome audits aim to evaluate the effectiveness of care by looking at the results achieved.

Choice D Reason

The incidence of central line-associated bloodstream infections (CLABSIs) is a specific outcome measure that reflects the quality and safety of patient care. CLABSIs are serious infections that can occur when bacteria or viruses enter the bloodstream through a central line. Monitoring the incidence of these infections helps assess the effectiveness of infection control practices and the overall quality of care provided. This measure directly relates to patient outcomes and is a key focus of outcome audits.

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Correct Answer is B

Explanation

Choice A Reason:

Temporarily setting aside upcoming organizational changes to concentrate exclusively on the unit’s requirements might seem like a good idea to focus on immediate needs. However, this approach can be short-sighted. Organizational changes often impact staffing needs, budget allocations, and overall unit operations. Ignoring these changes can lead to a misalignment between the unit’s budget and the broader organizational goals, potentially causing issues in the long run.

Choice B Reason:

Assessing the unit’s workload and taking into account the services it provides is crucial for developing an effective staffing budget. This approach ensures that the budget reflects the actual needs of the unit, including the number of staff required to deliver quality care and the types of services offered. By understanding the workload, the nurse manager can allocate resources more efficiently, ensuring that the unit operates smoothly and meets patient care standards. This method aligns with best practices in budget development for nurse managers, as it provides a clear picture of the unit’s needs and helps in planning for future demands.

Choice C Reason:

Identifying the services offered by competing healthcare organizations in nearby regions can provide valuable insights into market trends and competitive positioning. However, this information is more relevant for strategic planning and marketing rather than for developing a staffing budget. While it’s important to be aware of the competitive landscape, the primary focus of a staffing budget should be on the internal needs and workload of the unit.

Choice D Reason:

Ensuring that work schedules are prepared several months in advance is a good practice for operational efficiency and staff satisfaction. It helps in managing staff availability and reducing last-minute scheduling conflicts. However, this task is more related to day-to-day management and does not directly contribute to the development of a staffing budget. The budget should be based on a thorough assessment of the unit’s workload and service requirements, rather than just on scheduling practices.

A. I should promote the idea of clients getting an annual flu vaccination. B. I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. C. I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. D. I ought to assign the task of administering closed irrigation to the assistive personnel (AP).

Correct Answer is A

Explanation

Choice A Reason:

I should promote the idea of clients getting an annual flu vaccination. Promoting annual flu vaccinations is a cost-saving measure because it helps prevent the flu, which can lead to serious health complications and hospitalizations. By encouraging clients to get vaccinated, nurses can reduce the incidence of flu-related illnesses, thereby decreasing healthcare costs associated with treating these conditions. This preventive approach aligns with cost-saving strategies in client care.

Choice B Reason:

I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. Delaying the emptying of a drainable colostomy until it is three-fourths full is not a recommended practice. It can lead to leakage, skin irritation, and other complications. Proper and timely management of colostomies is essential for maintaining client comfort and preventing additional healthcare costs related to complications.

Choice C Reason:

I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. While sterile technique is important in certain clinical settings, it is not typically required for routine tracheostomy care at home. Teaching clients proper clean technique is usually sufficient and more practical for home care. This statement does not demonstrate an understanding of cost-saving methods, as it may unnecessarily increase costs and complexity for clients.

Choice D Reason:

I ought to assign the task of administering closed irrigation to the assistive personnel (AP). Administering closed irrigation is a task that requires specific knowledge and skills, and it may not be appropriate to delegate this to assistive personnel. Proper delegation involves ensuring that tasks are assigned to individuals with the appropriate training and competency. This statement does not reflect an understanding of safe and cost-effective delegation practices.

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A nurse from a medical floor is serving on a committee that is performing an outcome audit of the hospital. Which of the following aspects of client care is measured by an outcome audit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To develop an effective staffing budget, the nurse manager should:

Correct Answer is B

Explanation

A nurse is educating a newly licensed nurse on cost-saving methods in client care. Which statement from the newly licensed nurse demonstrates comprehension of the teaching?

Correct Answer is A

Explanation

The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:

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