A nurse is participating in a performance improvement program. Which of the following actions should the nurse take to evaluate the effectiveness of the program?

"Define the problem."

"Identify data collection methods."

"Perform chart audits."

"Review the facility's policy and procedure manual."

Answer and Explanation

The Correct Answer is C

A. "Define the problem.": While defining the problem is important in the early stages of performance improvement, evaluating effectiveness requires looking at data or outcomes, not just the initial identification of the issue.

B. "Identify data collection methods.": Identifying data collection methods is part of the planning phase, but evaluating the effectiveness involves reviewing actual data to see if the goals of the program were achieved.

C. "Perform chart audits.": This is correct. Performing chart audits allows the nurse to assess if the desired improvements have been implemented and whether the performance outcomes are being met. Chart audits are a common method for evaluating the effectiveness of a performance improvement program.

D. "Review the facility's policy and procedure manual.": While reviewing policies is important for understanding standards of care, it does not directly evaluate the effectiveness of a performance improvement program. Data from actual practice, such as chart audits, would be more relevant for evaluation.

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Correct Answer is B

Explanation

A. An entry on a nursing blog addressing wound healing: Nursing blogs can offer personal perspectives and experiences but may not always be evidence-based. The information can vary in quality and credibility.

B. A peer-reviewed journal article: This is correct. Peer-reviewed journal articles are the gold standard for evidence-based information because they have been evaluated by experts in the field and provide scientifically validated information.

C. First-hand experience with wound care products: While first-hand experience can be valuable, it is subjective and may not reflect the most current or broad evidence-based practices. It should be supplemented with research.

D. Information from a wound care product vendor: Although vendors may offer useful product-specific details, their information is often biased toward their own products and may not provide the most objective, evidence-based information available.

A. Apply an ice pack to the affected extremity for 20 min every 2 hr. B. Massage the affected extremity every 4 hr. C. Administer aspirin for pain. D. Initiate bed rest.

Correct Answer is A

Explanation

A. Apply an ice pack to the affected extremity for 20 min every 2 hr.: Applying ice to the affected extremity can help reduce inflammation and discomfort associated with deep-vein thrombosis (DVT). This method is often recommended to decrease swelling and prevent further complications.

B. Massage the affected extremity every 4 hr.: Massage should be avoided in cases of DVT as it can dislodge the thrombus, leading to a pulmonary embolism or other life-threatening complications.

C. Administer aspirin for pain.: Aspirin is not recommended for clients on anticoagulant therapy, as it can increase the risk of bleeding. Other pain relief options should be considered that do not interact with anticoagulants.

D. Initiate bed rest.: While limited activity is necessary to prevent the risk of embolism, complete bed rest is not typically recommended. Early ambulation (when safe. is often encouraged to prevent complications like venous stasis.

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A nurse is participating in a performance improvement program. Which of the following actions should the nurse take to evaluate the effectiveness of the program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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