A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?

Presence of jugular vein distention

Increased weight of 2.27 kg (5 lb) in one week

Decreased brain natriuretic peptide levels

Development of S3 heart sounds

Answer and Explanation

The Correct Answer is C

A. The presence of jugular vein distention indicates fluid overload and is a sign of worsening heart failure, which would not suggest a successful initiative.

B. An increased weight of 2.27 kg (5 lb) in one week is indicative of fluid retention, a common sign of heart failure exacerbation, suggesting the initiative is not effective.

C. Decreased brain natriuretic peptide (BNP) levels indicate improved cardiac function and a reduction in heart failure symptoms, reflecting the success of the quality improvement initiative aimed at reducing hospital readmissions.

D. The development of S3 heart sounds is often associated with heart failure and fluid overload, indicating a worsening condition rather than improvement.

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Correct Answer is C

Explanation

A. A decrease in HDL (high-density lipoprotein) levels would indicate a worsening lipid profile, which is not directly related to the effectiveness of insulin administration training.

B. An increase in blood glucose levels would indicate poor glycemic control, suggesting the teaching method was not effective in helping clients manage their insulin properly.

C. A decrease in HbA1C reflects better long-term blood glucose control, indicating that the new teaching method for insulin administration is effective. HbA1C levels provide a clearer picture of blood sugar management over time.

D. An increase in incidents of lipohypertrophy would suggest improper insulin injection technique, as this condition occurs when injections are repeatedly administered in the same spot. This would indicate ineffective teaching.

A. HDL levels decreased B. Blood glucose levels increased C. HbA1C numbers decreased D. Incidents of lipohypertrophy increased

Correct Answer is C

Explanation

A. A decrease in HDL (high-density lipoprotein) is unrelated to insulin administration and would not indicate effective teaching about insulin use.

B. An increase in blood glucose levels would suggest poor glycemic control, indicating that the teaching method was ineffective in helping clients manage their insulin properly.

C. A decrease in HbA1C levels reflects better long-term blood sugar control and indicates that the new method of teaching insulin administration is effective in helping clients manage their diabetes.

D. An increase in incidents of lipohypertrophy suggests improper insulin injection technique, indicating that the teaching method was ineffective.

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A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

Correct Answer is C

Explanation

A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

Correct Answer is C

Explanation

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