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","D","E"]

Explanation

A. Implementing a client's plan of care based on nursing goals is part of nursing responsibilities but does not specifically reflect advocacy for the client's rights or preferences.

B. Initiating IV access while the client is sleeping may not respect the client's autonomy or informed consent, which is contrary to advocacy principles.

C. Providing written information about palliative care supports the client's right to be informed about their options, reflecting advocacy for their needs and preferences.

D. Obtaining an interpreter ensures effective communication and supports the client's right to understand their care, exemplifying client advocacy.

E. Documenting a client's refusal to take prescribed medication honors the client's autonomy and right to make decisions about their care, which is a key aspect of advocacy.

A. HDL levels decreased B. Blood glucose levels increased C. HbA1C numbers decreased D. Incidents of lipohypertrophy increased

Correct Answer is C

Explanation

A. A decrease in HDL (high-density lipoprotein) levels would indicate a worsening lipid profile, which is not directly related to the effectiveness of insulin administration training.

B. An increase in blood glucose levels would indicate poor glycemic control, suggesting the teaching method was not effective in helping clients manage their insulin properly.

C. A decrease in HbA1C reflects better long-term blood glucose control, indicating that the new teaching method for insulin administration is effective. HbA1C levels provide a clearer picture of blood sugar management over time.

D. An increase in incidents of lipohypertrophy would suggest improper insulin injection technique, as this condition occurs when injections are repeatedly administered in the same spot. This would indicate ineffective teaching.

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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 conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

Correct Answer is C

Explanation

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. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

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.