A nurse manager is a part of a team developing a quality improvement plan to address the increased incidence of central line-related bloodstream infections. Which of the following strategies should the nurse manager include in the plan?
Change the facility's vendor for central line products
Use resources that identify benchmarks of best practices
Identify the staff caring for clients who acquire an infection
Report the incidence of infection to the health department
The Correct Answer is B
Choice A reason: Changing the facility's vendor for central line products is not a quality improvement strategy. The vendor is not the cause of the infections, but the process of insertion, maintenance, and removal of the central line. The nurse manager should focus on improving the quality of care rather than the quality of products.
Choice B reason: Using resources that identify benchmarks of best practices is a quality improvement strategy. The nurse manager should compare the facility's performance with the standards and guidelines of evidence-based practice, such as the Centers for Disease Control and Prevention (CDC) or the Institute for Healthcare Improvement (IHI). The nurse manager should also implement interventions to reduce the infection rate, such as staff education, audits, and feedback.
Choice C reason: Identifying the staff caring for clients who acquire an infection is not a quality improvement strategy. The nurse manager should not single out or blame the staff for the infections, but rather involve them in the quality improvement process. The nurse manager should foster a culture of safety and teamwork, and encourage the staff to report and prevent errors.
Choice D reason: Reporting the incidence of infection to the health department is not a quality improvement strategy. The nurse manager should report the infection rate as required by law, but this does not improve the quality of care. The nurse manager should use the data to identify the gaps and areas of improvement, and monitor the outcomes of the quality improvement plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Secure the client's restraints with a square knot
This is incorrect because square knots are difficult to release in an emergency. Quick-release knots are recommended for safety.
B. Attach the restraints to the fixed portion of the frame of the client's bed
This is correct because attaching restraints to the bed frame ensures they remain stable and do not pose a risk if the bed position changes. Restraints should never be attached to movable parts like side rails, as this can lead to injury.
C. Remove the client's restraints every 2 hours
This is a common practice, but not specific enough for the primary focus of the question. While restraints should be removed periodically to check for circulation, skin integrity, and range of motion, the interval might vary based on institutional policy and patient needs.
D. Allow 1 fingerbreadth between the restraint and the client's wrists
This is incorrect because the proper fit is typically 2 fingers to ensure the restraint is snug but not too tight, preventing circulation issues or injury.
Correct Answer is A
Explanation
Choice A reason: The charge nurse should address the situation of the emergency department nurse waiting to give report on a new admission first. This is the most urgent and time-sensitive issue that affects the client's safety and continuity of care. The charge nurse should assign a staff nurse to receive the report and prepare for the admission.
Choice B reason: The charge nurse should address the situation of a nurse on the previous shift writing an incident report about a medication error second. This is an important and serious issue that requires follow-up and corrective actions. The charge nurse should review the incident report, talk to the nurse involved, and implement measures to prevent future errors.
Choice C reason: The charge nurse should address the situation of two staff members calling to say they will be absent third. This is a significant and challenging issue that affects the staffing and workload of the unit. The charge nurse should contact the staffing office, request replacements, and adjust the assignments accordingly.
Choice D reason: The charge nurse should address the situation of transport assistance being unavailable to take a client to occupational therapy last. This is a minor and temporary issue that does not compromise the client's health or well-being. The charge nurse should contact the transport department, reschedule the therapy session, and inform the client and the therapist.
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