A nurse is reviewing the electronic medical records of clients following the implementation of a quality improvement plan to reduce health care associated infections.
Select the three clients whose findings indicate the program is effective.
Client 1
Client 5
Client 2
Client 3
Client 4
Correct Answer : B,C,D
A. Client 1: Worsening of the pressure injury with purulent drainage indicates infection and failure of pressure injury prevention strategies.
B. Client 5: The stage 3 pressure injury reduced in size and severity to stage 2, with the absence of purulent drainage, indicating wound healing and effective intervention.
C. Client 2: WBC count decreased from 11,500/mm³ to within the normal range at 9,500/mm³, indicating improvement in pneumonia.
D. Client 3: Temperature reduced from 38.9°C to 38°C, with stabilization of vital signs, suggesting improvement in the wound infection.
E. Client 4: An increase in WBCs in the urine from 2 to 6 per low-power field suggests worsening of the urinary tract infection, indicating program ineffectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Teach a client about hemodialysis: This task requires an RN's advanced education and assessment skills.
B. Assist in checking a unit of packed RBCs to administer to a client: Assisting in double-checking blood products is within the scope of practice, although administration requires an RN.
C. Create a plan of care for a client's discharge: Developing a comprehensive discharge plan is a responsibility of the RN.
D. Regulate the client's infusion pump after initiating a heparin drip infusion: Once the heparin drip is initiated by an RN, LPNs can regulate the infusion pump.
Correct Answer is B
Explanation
A. Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B. Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D. Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.
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