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?

Incorporate the process change into daily practice within the facility.

Identify current infection rates from facility data.

Determine if the implemented change has lowered the current infection rate.

Select a potential intervention to lower the current infection rate.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Incorporating process changes into daily practice is vital for sustainable improvements in infection rates. However, this step follows identifying baseline infection rates and evaluating the efficacy of interventions. Implementation must be based on data-driven decisions to ensure its effectiveness.

Choice B rationale

Identifying current infection rates provides the baseline data necessary for assessing the extent of health care-associated infections. This information guides the identification of trends, prioritization of interventions, and evaluation of outcomes, forming the foundation of quality improvement initiatives.

Choice C rationale

Determining if the implemented change has lowered infection rates is an evaluation step performed after implementing interventions. While this step measures the success of changes, it is not the starting point for initiating quality improvement programs.

Choice D rationale

Selecting a potential intervention focuses on proposing solutions to reduce infection rates. However, interventions must be informed by baseline data on current rates to ensure they target the most pressing issues effectively. Selection occurs after data analysis.

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Correct Answer is C

Explanation

Choice A rationale

Refrigerating a midstream urine sample aligns with proper storage protocols, as it prevents degradation and ensures accurate results. This action adheres to infection control standards, minimizing contamination risks during specimen processing.

Choice B rationale

Cleaning with chlorhexidine following a blood spill adheres to effective infection control practices. Chlorhexidine is a potent antiseptic that eliminates pathogens and reduces infection risks, particularly after exposure to bloodborne microorganisms.

Choice C rationale

Alcohol-based antiseptic is ineffective against varicella zoster, which requires soap and water or antimicrobial agents to ensure decontamination. Misuse of antiseptics in this scenario poses an infection hazard as the nurse may inadvertently facilitate pathogen transmission.

Choice D rationale

Using sterile 0.9% sodium chloride irrigation solution is a standard wound-cleaning procedure, promoting sterility and minimizing infection risks. This practice aligns with aseptic techniques critical in specimen collection and wound care management. .

A. A client who has a new colostomy and avoids discussion of colostomy care. B. A client who has bacterial pneumonia and is receiving intravenous antibiotics. C. A client who postpones a surgical procedure until completing more diagnostic tests. D. A client who has a positive tuberculin skin test and a negative chest x-ray.

Correct Answer is A

Explanation

Choice A rationale

A client with a new colostomy avoiding discussion of care may experience psychological distress, such as denial or anxiety, impacting recovery. Interprofessional conferences address emotional and practical needs collaboratively, ensuring comprehensive care planning for improved client adaptation.

Choice B rationale

A client with bacterial pneumonia receiving IV antibiotics typically follows a clear treatment plan. Their condition does not require further interprofessional intervention unless complications arise. Routine care and monitoring suffice for this predictable treatment trajectory.

Choice C rationale

Postponing surgery for diagnostic tests reflects informed decision-making and does not necessitate interprofessional conferences. This autonomy indicates the client is actively participating in their care decisions, which are progressing without barriers requiring team discussion.

Choice D rationale

A positive tuberculin skin test with a negative chest x-ray indicates latent tuberculosis infection. This situation follows routine preventative care protocols rather than immediate interprofessional collaboration, as it does not signify active disease or complex care needs. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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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?