A nurse is reviewing client charts to collect data on the number of urinary catheters that were removed within 48 hours of surgery. This collection of information demonstrates which of the following processes?

Structure audit

Benchmarking

Outcome audit

Process audit

Answer and Explanation

The Correct Answer is C

A. A structure audit examines the resources, facilities, and organizational structure in place rather than specific patient outcomes or interventions.

B. Benchmarking involves comparing performance metrics to industry standards or best practices but does not specifically apply to this situation.

C. An outcome audit focuses on the results of care, specifically looking at the effectiveness of care practices, such as the timely removal of urinary catheters, to prevent complications.

D. A process audit evaluates the methods and processes of care rather than the outcomes, which is not applicable in this context.

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Correct Answer is C

Explanation

A. It is the provider's responsibility, not the nurse's, to disclose the expected outcomes, risks, and alternatives of a treatment. The nurse ensures the client understands what was explained, but does not disclose this information themselves.

B. While consent allows nurses to perform interventions, the primary responsibility for obtaining informed consent lies with the provider who is performing the procedure.

C. The nurse's signature on the consent form signifies that they witnessed the client sign the document and that the client appeared competent and gave voluntary consent. This is the correct role of the nurse in the informed consent process.

D. Informed consent must be written for procedures, although verbal consent can be used for some less invasive treatments, but this is not standard for most medical or surgical procedures.

A. Reposition the client frequently. B. Instruct the client to use the incentive spirometer. C. Ensure the client consumes an adequate amount of fluids. D. Increase the amount of time the client spends out of bed each day.

Correct Answer is B

Explanation

A. While repositioning is important to prevent pressure ulcers and promote circulation, it is not the priority intervention in this context.

B. Using an incentive spirometer is crucial for preventing atelectasis and promoting lung expansion following surgery, making it a priority intervention.

C. Ensuring adequate fluid intake is important for hydration and recovery but does not take precedence over respiratory care in the postoperative setting.

D. Increasing the amount of time spent out of bed is beneficial for recovery but should follow ensuring proper respiratory function and lung expansion, which is addressed by the use of the incentive spirometer.

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A nurse is reviewing client charts to collect data on the number of urinary catheters that were removed within 48 hours of surgery. This collection of information demonstrates which of the following processes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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