A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit.

Exhibits

Select the 3 clients whose findings indicate the program is effective.

Client 1

Client 2

Client 3

Client 4

Client 5

Answer and Explanation

Correct Answer : B,D,E

A. Client 1 - The findings for this client indicate a worsening of the pressure injury, with an increase in size from 2.5 cm x 2.5 cm to 3 cm x 3 cm. Additionally, the presence of purulent drainage suggests an infection rather than improvement, indicating that the quality improvement plan is not effective for this client.

B. Client 2 - The white blood cell (WBC) count for this client decreased from 11,500/mm³ to 9,500/mm³, which falls within the normal range. This reduction in WBC count suggests an improvement in the client's pneumonia, indicating that the quality improvement initiative to reduce healthcare-associated infections is effective in this case.

C. Client 3 - Although the WBC count increased from 2 to 6, it remains within the acceptable range of 0 to 4 per low-power field for urinary tract infections (UTIs). There are no significant improvements in the urinalysis results, which suggests that the program may not be effectively addressing the client's condition.

D. Client 4 - This client's urinalysis results remained consistent with no significant changes in urine pH and specific gravity. The WBC count remains unchanged at 2, indicating stability and no evidence of infection progression. This lack of worsening suggests that the quality improvement plan is effectively managing the client's UTI.

E. Client 5 - This client shows improvement, with a decrease in the size of the pressure injury from 3.5 cm x 2.5 cm to 2.8 cm x 2 cm and the absence of purulent drainage. These findings indicate that the quality improvement plan is effective in preventing further infection and promoting healing in this client.

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Correct Answer is A

Explanation

A. Submitting a written request is a standard procedure for obtaining medical records, as it ensures proper documentation and compliance with privacy regulations. This response is appropriate and follows legal protocols.

B. Making a copy of the medical records immediately may violate facility policy, as proper authorization and procedures are typically required before releasing any medical documents.

C. Questioning the client's intentions can be seen as invasive and does not facilitate the process of obtaining their medical records. The nurse should not pry into the client’s personal reasons.

D. Stating that the facility is unable to release the records is incorrect, as clients have the right to access their medical records as long as they follow the proper protocol.

A. Send a clinician to assess the safety of leaving her partner alone. B. Provide volunteers who will run errands for her. C. Help her arrange transferring her partner to an assisted living facility. D. Allow her to take time off from attending to her partner.

Correct Answer is D

Explanation

A. While a clinician assessing safety can be part of a care plan, it does not define the purpose of respite care.

B. Respite care typically does not involve volunteers running errands; instead, it focuses on temporary care.

C. Transferring to an assisted living facility is a separate process from respite care, which provides temporary relief.

D. Respite care specifically allows caregivers to take breaks, providing them time off from their caregiving responsibilities while ensuring that their loved one is cared for in a safe environment, making this the correct answer.

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A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Exhibits Select the 3 clients whose findings indicate the program is effective.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

Correct Answer is D

Explanation

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A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

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A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit.

Exhibits

Select the 3 clients whose findings indicate the program is effective.