A nurse is attending a quality improvement meeting. Which of the following actions should the nurse take first when initiating a quality improvement program to address health care-associated infections?
Identify current infection rates from facility data.
Incorporate the process change into daily practice within the facility.
Select a potential intervention to lower the current infection rate.
Determine if the implemented change has lowered the current infection rate.
The Correct Answer is A
A. Identify current infection rates from facility data:
This is the correct answer. Before implementing any changes, it is crucial to assess the current state of infection rates within the facility. This data serves as a baseline to measure the effectiveness of interventions.
B. Incorporate the process change into daily practice within the facility:
This step comes after identifying the current infection rates. Implementing changes without understanding the baseline infection rates may not effectively address the issue.
C. Select a potential intervention to lower the current infection rate:
While selecting an intervention is a crucial step, it should follow the identification of current infection rates. Interventions should be evidence-based and tailored to the specific issues identified.
D. Determine if the implemented change has lowered the current infection rate:
This step occurs after the intervention has been implemented. It involves ongoing monitoring and evaluation to determine the impact of the changes on infection rates.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Report the fire details to the facility emergency extension:
While reporting the fire details is important, activating the fire alarm takes precedence. The alarm initiates a quicker and broader response to the emergency.
B. Close the door to the client's room:
Closing the door may be a subsequent action to contain smoke and fire, but it is not the immediate priority. Activating the fire alarm ensures a faster response and is crucial for alerting others.
C. Activate the fire alarm.
Activating the fire alarm is the most immediate action to take in the event of a fire. The fire alarm alerts others in the facility, including staff and emergency services, about the potential danger. This rapid notification initiates the emergency response, ensuring a quick and coordinated effort to address the fire situation and safeguard everyone in the vicinity.
D. Turn off electrical equipment:
Turning off electrical equipment is a valid action to prevent further hazards, but it is not the immediate priority. Activating the fire alarm comes first to ensure the safety of everyone in the facility.
Correct Answer is ["0.2"]
Explanation
To give a client with rheumatoid arthritis a subcutaneous dose of methotrexate 7.5 mg, the nurse needs to calculate the correct volume of the drug solution.
The drug solution has a concentration of 15 mg/0.4 mL, which means that 0.4 mL of the solution contains 15 mg of methotrexate. To find the volume of the solution that contains 7.5 mg of methotrexate, the nurse can use a proportion:
- 15 mg/0.4 mL = 7.5 mg/x mL
Cross-multiplying and solving for x gives:
- x = (0.4 mL x 7.5 mg) / 15 mg
- x = 0.2 mL
Therefore, the nurse should administer 0.2 mL of the drug solution to deliver 7.5 mg of methotrexate subcutaneously.
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