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 C

Explanation

A. Identifying data to be collected is important, but first, the nurse manager should observe current practices to understand the situation better before deciding on data needs.

B. Re-evaluating staff performance is a later step in the quality improvement process after understanding current practices and identifying areas for improvement.

C. Observing staff medication administration procedures provides direct insight into the practices and potential areas of error, making it the first action to take in addressing medication errors.

D. Requiring staff to complete a review module could help improve knowledge but should follow an assessment of current practices to tailor the training effectively.

A. Respite care B. Hospice care C. Social worker D. Adult day care E. Legal assistance

Correct Answer is ["A","B","C"]

Explanation

A. Respite care offers temporary relief for the partner, allowing them to take breaks while knowing their loved one is cared for, thus reducing stress and preventing caregiver burnout.

B. Hospice care is essential for providing comprehensive support for terminally ill clients, including pain management, emotional support, and assistance with end-of-life care, which would be critical for the client returning home.
C. Social worker can assist the client and their partner in addressing financial concerns, accessing community resources, and providing emotional support, ensuring a smoother transition to home care.

D. Adult day care is not a primary resource for the client's immediate needs related to terminal care and support for their partner.

E. Legal assistance is not a primary resource for the client's immediate needs related to terminal care and support for their partner.

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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 manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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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.