A nurse is comparing the rate of medication errors on the medical unit to the rate from amedical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?

Root cause analysis

Risk benefit analysis

Structure audit

Benchmarking

Answer and Explanation

The Correct Answer is D

A.   Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B.   Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C.   Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D.   Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.

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Correct Answer is D

Explanation

A. A client with gestational diabetes receiving biweekly nonstress tests typically requires monitoring and assessment that align more closely with obstetric nursing knowledge and skills rather than medical-surgical nursing.
B. A multigravida client with preeclampsia receiving misoprostol for induction of labor needs specialized obstetric care due to the complexity of the condition and the induction process.
C. A client at 32 weeks of gestation with premature rupture of membranes would require obstetric care expertise for monitoring and management.
D. A primigravida client 1 day postoperative following a Cesarean section with a patient- controlled analgesia (PCA) pump requires specialized postoperative obstetric care,
making this assignment suitable for the RN who floated from a medical-surgical unit due to their experience with postoperative care and pain management.

A. "You should contact the provider about your wishes for your family member." B. "You should speak with the facility's ethics committee about your concerns." C. "As the health care surrogate, the client's partner can make this decision." D. "We'll need to have the nursing supervisor review the client's advance directives."

Correct Answer is C

Explanation

A. Contacting the provider may be part of the process, but it does not directly address the conflict between the family members' wishes and the health care surrogate's legal authority.
B. While the ethics committee can be a valuable resource in resolving disputes, it is not the first step in this situation, as the health care surrogate has the legal right to make decisions on behalf of the unconscious client.
C. The health care surrogate is legally designated to make health care decisions for the client when they are unable to do so themselves. This includes decisions about life-sustaining treatments such as a feeding tube.
D. Reviewing the client's advance directives is important, but it does not supersede the authority of the health care surrogate unless the directives explicitly limit the surrogate's decision-making power.

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A nurse is comparing the rate of medication errors on the medical unit to the rate from amedical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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