A nurse is part of a task force planning to audit a facility's nursing units concerning adherence to hand-hygiene protocols. Which of the following steps should the task force take first?
Compare the facility's data with the established criteria for hand hygiene
Establish methods for collecting data within the facility.
Determine the accepted standards for hand hygiene.
Take corrective measures to enforce hand hygiene.
The Correct Answer is C
A. Data comparison should be done after establishing the standards and collecting data.
B. While data collection is important, the first step is to determine what the accepted hand hygiene standards are.
C. This is the correct answer. The first step in an audit process is to determine the accepted hand hygiene standards to provide a basis for evaluation.
D. Corrective measures should only be taken after data has been collected and analyzed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use clean technique for invasive procedures. – Incorrect. Sterile technique, not clean technique, is required to prevent infection in neutropenic clients.
B. Allow healthy children to visit. – Incorrect. Clients with neutropenia should avoid exposure to children due to the risk of infections.
C. Monitor the client's temperature every 4 hr. – Correct. Fever can indicate infection, which is life-threatening for neutropenic clients. Early detection is crucial.
D. Make sure the client's room is cleaned every 2 days. – Incorrect. The room should be cleaned daily to reduce infection risk.
Correct Answer is A
Explanation
A. This is the correct answer. Older adults are at risk for fluid overload, so infusing blood over 4-5 hours (instead of the usual 2-4 hours) is safer.
B. Blood products must be infused with 0.9% sodium chloride (normal saline) only. Dextrose-containing solutions cause hemolysis.
C. A 20-gauge catheter is acceptable, but a larger bore (18-gauge) is preferred for faster infusion.
D. Vital signs should be monitored before the transfusion, 15 minutes after starting, then every 30-60 minutes, and at completion.
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